Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faryal Azam OD LLC

Organization Optometrist · NPI 1609217140

Faryal Azam OD LLC is an Optometrist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9475 Roosevelt Blvd Inside Pearle Vision
Philadelphia, PA 19114-2212
Phone: (215) 698-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG002637 (PA)

Record details

NPI number1609217140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faryal Azam — Optometrist · (267) 241-8006
NPI enumeratedJuly 12, 2013
Last updated in NPPESJuly 12, 2013
Mailing address9475 Roosevelt Blvd, Inside Pearle Vision, Philadelphia, PA 19114-2212

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