Mehrnaz Dehghan Azimi Green, O.D.
Individual provider Active NPI Optometrist · Chevy Chase, MD
NPI 1124243860 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1124243860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TA1869 (MD)
- Practice address
- 6900 Wisconsin Ave
Ste. 600
Chevy Chase, MD 20815-6114 - Phone
- (301) 951-0320
- Fax
- (301) 951-0370
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medfield Eye Associates, Inc | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1869 | MD | Yes |
| Pediatric Optometrist | 152WP0200X | TA1869 | MD | |
| Vision Therapy Optometrist | 152WV0400X | TA1869 | MD | |
| Sports Vision Optometrist | 152WS0006X | TA1869 | MD |
Addresses
Primary practice location
6900 Wisconsin Ave
Ste. 600
Chevy Chase, MD 20815-6114
Mailing address
6900 Wisconsin Ave
Ste. 600
Chevy Chase, MD 20815-6114
Phone (301) 951-0320
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.