OrganizationActive
Faryal Azam OD LLC
NPI 1609217140 · Optometrist · Philadelphia, PA
Provider details
- NPI number
- 1609217140
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Faryal Azam, Optometrist(267) 241-8006
- License
- OEG002637 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9475 Roosevelt Blvd
Inside Pearle Vision
Philadelphia, PA 19114-2212
Phone: (215) 698-7600
Street-level locationGet directions
Mailing address
9475 Roosevelt Blvd
Philadelphia, PA 19114-2212
Registry dates
- Enumerated
- 2013-07-12
- Last updated
- 2013-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.