Individual provider Active NPI

Sadaf Razi Elhaffar, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1073521092
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06649TG Issued in TX
Practice address
2801 Lemmon Ave
Suite 400
Dallas, TX 75204-2356
Phone
(214) 754-0000
Fax
(214) 379-1849
NPI assigned
Aug 4, 2006
Last updated
Jan 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06649TG TX Primary

Addresses

Primary practice location

2801 Lemmon Ave
Suite 400
Dallas, TX 75204-2356

Mailing address

2801 Lemmon Ave
Suite 400
Dallas, TX 75204-2356
Phone (214) 754-0000

Other identifiers 1

IdentifierTypeStateIssuer
175638901MedicaidTX

Other names 1

  • Sadaf Razi Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050804001025 TX Practitioner - Optometry 3072542570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 clinicians

Practice addresses (Care Compare)

3060 Communications Pkwy
Plano, TX 75093-8449
Phone (214) 754-0000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6649TXMDChiropractor
06649TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Optometrist Current Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Mar 1, 2010 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Mar 1, 2010 Accepting new patients
Harvey L Carter III MD PA PastSince Jan 19, 1994 Accepting new patients

Locations

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

3060 Communications Pkwy
Ste 205
Plano, TX 75093
Phone (972) 769-2020

Interoperability endpoints

  • Direct secure messaging: selhaffar@kwec.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1073521092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAFFAR",
        "first_name": "SADAF",
        "middle_name": "RAZI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06649TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175638901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADAF",
            "last_name": "RAZI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.