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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376202861

Fayiz Mahgoub, OD is a Student in an Organized Health Care Education/Training Program in Boulder, Colorado. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5305 Spine Rd Ste B
Boulder, CO 80301-3331
Phone: (970) 402-5789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376202861
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedDecember 11, 2021
Last updated in NPPESDecember 11, 2021
Certification dateDecember 11, 2021

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