Basic Information
| Provider Information | |||||||||
| NPI: | 1609325646 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHEMNA | ||||||||
| FirstName: | RUHINA | ||||||||
| MiddleName: | RIYAZ | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2346 WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275189210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198510093 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2346 WALNUT ST | ||||||||
| Address2: | |||||||||
| City: | CARY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275189210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198510093 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2016 | ||||||||
| LastUpdateDate: | 11/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 2467 | NC | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.