Individual provider Active NPI

Zitta Rezvani, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1073675781
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000033 Issued in DC
Practice address
702 7TH St NW
Washington, DC 20001-3716
Phone
(202) 347-7990
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1000033 DC Primary

Addresses

Primary practice location

702 7TH St NW
Washington, DC 20001-3716

Mailing address

923 F St NW
Washington, DC 20004-2764
Phone (202) 347-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20140923001794 DC Practitioner - Optometry 0244459311 Reassigns benefits to 1 organization
I20201112001837 MD Practitioner - Optometry 0244459311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000033DCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Weinstein Eye Associates LLC Optometrist CurrentSince Oct 12, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

1215 Annapolis Rd
Ste 103
Odenton, MD 21113
Phone (301) 672-2515

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

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

5743 Crain Hwy
Uppr Marlboro, MD 20772
Phone (301) 627-4485

3080 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 843-9112

Organizations & group practices 3

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": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1073675781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 F ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042764",
            "telephone_number": "202-347-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 7TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013716",
            "telephone_number": "202-347-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZVANI",
        "first_name": "ZITTA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.