Active NPI
Marjan Keramati, OD
- Optometrist
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601002207
- Practice address
- 8359 Leesburg Pike
Vienna, VA 22182-2492 - Phone
- (703) 442-9295
- Fax
- (703) 749-0936
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601002207 | VA | Primary |
Addresses
Primary practice location
8359 Leesburg Pike
Vienna, VA 22182-2492
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601002207 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks Inc. | Past | Accepting new patients |
Locations
4301 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 237-8500
169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021
15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132
23415 Three Notch Rd
Ste 1101
California, MD 20619
Phone (301) 862-1896
10112 York Rd
Cockeysville, MD 21030
Phone (410) 628-5350
Organizations & group practices 5
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": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073695086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6509",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 LEESBURG PIKE",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822492",
"telephone_number": "703-442-9295",
"fax_number": "703-749-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERAMATI",
"first_name": "MARJAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601002207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.