Farzad A. Khazraee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

496 Issued in PR

Practice address

Plaza Isabela Local 265
3535 Ave. Militar
Isabela, PR 00662-5909

Phone

(787) 589-8334

Fax

(787) 589-8334

NPI assigned

Feb 1, 2006

Reactivated

May 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Toperbee Corporation

  • Eyewear Supplier
  • Caguas, PR
  • NPI 1528041167

  Optometrist

  NPD (past)
• Yolanda Rodriguez Morales

  • Optician
  • San Sebastian, PR
  • NPI 1235262379
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1003887522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 31694",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039495",
            "telephone_number": "787-431-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA ISABELA LOCAL 265",
            "address_2": "3535 AVE. MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625909",
            "telephone_number": "787-589-8334",
            "fax_number": "787-589-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Borinquen Optical Gallery",
            "address_2": "Urd. Costa De Oro Calle 1 Bloque A #1-E",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-896-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "HC 3 Box 31694",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006039495",
            "country_code": "US",
            "telephone_number": "787-431-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "GH-1, AVE LAUREL OFICINA #3",
            "address_2": "URB. SANTA JUANITA",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "country_code": "US",
            "telephone_number": "787-242-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 Calle Ruiz Belvis",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "006852335",
            "country_code": "US",
            "telephone_number": "787-896-7040",
            "fax_number": "787-896-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "borinquen optical gallery",
            "address_2": "km 8.0 Road 693 dorado del mar shopping center",
            "address_purpose": "LOCATION",
            "city": "dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-390-5055",
            "fax_number": "939-337-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "borinquen optical gallery",
            "address_2": "km 8.0 Road 693 dorado del mar shopping center",
            "address_purpose": "LOCATION",
            "city": "dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-390-5055",
            "fax_number": "939-337-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAZRAEE",
        "first_name": "FARZAD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "deactivation_date": "2020-02-25",
        "reactivation_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "496-302",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSS378A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher William Jimenez Gonzalez, PHARMD
• Elizabeth J Juarbe Barreto, SLP
• Julia Margarita Juarbe, DDS
• Julio a. Torres Izquierdo
• David Hormoz Kalantar, M.D.
• Kyrios Internal Medicine Services
• Lab Clinico Villanueva
• Laboratorio Cardona Lamela, Inc.
• Laboratorio Clinicio Prosalud Isabela PSC
• Laboratorio Clinico Costa Isabela Inc.

• All providers in Isabela, PR
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.