Individual provider Active NPI

Nazanin Latifi

  • Optometrist
  • Sterling, VA
National Provider Identifier
1043508161
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002047 Issued in VA
Practice address
165 Seneca Ridge Dr
Sterling, VA 20164-1365
Phone
(703) 774-6380
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002047 VA Primary

Addresses

Primary practice location

165 Seneca Ridge Dr
Sterling, VA 20164-1365

Mailing address

165 Seneca Ridge Dr
Sterling, VA 20164-1365
Phone (703) 774-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111024000727 VA Practitioner - Optometry 5799958575 Reassigns benefits to 1 organization
I20120118000603 DC Practitioner - Optometry 5799958575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

42015 Village PLZ
Suite 103
Stone Ridge, VA 20105
Phone (703) 542-8888

709 Pine St
Herndon, VA 20170-4604
Phone (703) 471-7810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002047VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Optometrist Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Apr 26, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Apr 26, 2021 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Eye Care Center of Leesburg Optometrist PastSince Jan 1, 2002 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

44050 Ashburn Shopping Plz
Ste 163
Ashburn, VA 20147
Phone (703) 726-0005

10338 Bristow Center Dr
Bristow, VA 20136
Phone (703) 392-1010

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

13320 Franklin Farm Rd
Ste H
Herndon, VA 20171
Phone (703) 481-5600

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

42015 Village Center Plz
Ste 103
Stone Ridge, VA 20105
Phone (703) 542-8888

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1043508161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SENECA RIDGE DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641365",
            "telephone_number": "703-774-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SENECA RIDGE DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641365",
            "telephone_number": "703-774-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIFI",
        "first_name": "NAZANIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.