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

Individual provider Optometrist · NPI 1275215469

Samar Keshavarz Shirazi, OD is an Optometry in New York, New York. Qualified in 2022, 4 years ago. Practices with Fifth Avenue Oculofacial Aesthetic Surgery PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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

1034 5th Ave
New York, NY 10028-0157
Phone: (212) 570-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence RT009869-01 (NY)

Record details

NPI number1275215469
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fifth Avenue Oculofacial Aesthetic Surgery Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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