Soroush Bahnamiri Azadi, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

6642TG Issued in TX

Practice address

4211 S Lamar Blvd
Ste E-3
Austin, TX 78704-7996

Phone

(512) 916-4600

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Freedom Eye Care PLLCGroup PAC ID 1052576436, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• TX HMO D-SNP
• TX HMO
• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom Eye Care PLLC

  • Optometrist
  • Austin, TX
  • NPI 1265794150
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Quintanilla OD PC

  • Optometrist
  • Taylor, TX
  • NPI 1578584116
  NPD (past)
• Optometric Associates of Texas P.a.

  dba Master Eye Associates

  • Optometrist
  • Arlington, TX
  • NPI 1043222888
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1003825621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 S LAMAR BLVD",
            "address_2": "STE E-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047996",
            "telephone_number": "512-916-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 S LAMAR BLVD",
            "address_2": "STE E-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047996",
            "telephone_number": "512-916-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZADI",
        "first_name": "SOROUSH",
        "middle_name": "BAHNAMIRI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6642TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haneen Aysha
• Erica Lavan Murphy Ayuso, LCSW
• Az Medical PLLC
• Azadi Optometric Services PLLC (Mobile Eyes)
• Roya A Azadi, M.D.
• Azaph Residential Home Care LLC
• Adrian T Azar
• Michael Azarani, PH.D.
• Mina Azari, PHARMD
• Kaveh Azarnoush, DDS

• Corneal and Contact Management Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.