Individual provider Active NPI

Fariba Daneshgaran, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1043339252
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3523 Issued in WA
Practice address
9 Lake Bellevue Dr Ste 208
Bellevue, WA 98005-2454
Phone
(425) 777-1089
Fax
(425) 285-8029
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11815 CA
Optometrist 152W00000X 3523 WA Primary

Addresses

Primary practice location

9 Lake Bellevue Dr Ste 208
Bellevue, WA 98005-2454

Mailing address

9 Lake Bellevue Dr Ste 208
Bellevue, WA 98005-2454
Phone (425) 777-1089

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drs@seeutomorrow.hush.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20231026000543 WA Practitioner - Optometry 2163878273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
C U Tomorrow Eyecare PLLCGroup PAC ID 8527414630, 2 clinicians

Practice addresses (Care Compare)

9 Lake Bellevue Dr
Suite 208
Bellevue, WA 98005-2454
Phone (425) 777-1089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11815CAMDOptometrist
3523WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C U Tomorrow Eyecare PLLC Optometrist CurrentSince Apr 20, 2022 Accepting new patients

Locations

9 Lake Bellevue Dr
Ste 208
Bellevue, WA 98005
Phone (425) 777-1089

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1043339252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-777-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-777-1089",
            "fax_number": "425-285-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHGARAN",
        "first_name": "FARIBA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11815",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drs@seeutomorrow.hush.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "'hush' email, secure data",
            "address_1": "9 Lake Bellevue Dr Ste 208",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980052454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.