Individual provider Active NPI

Morvarid Fallahzadeh, O.D.

  • Optometrist
  • Weston, FL
National Provider Identifier
1164837258
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4919 Issued in FL
Practice address
1673 Market St
Weston, FL 33326-3663
Phone
(954) 384-0266
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 4919 FL Primary

Addresses

Primary practice location

1673 Market St
Weston, FL 33326-3663

Mailing address

13950 Oak Ridge Dr
Davie, FL 33325-3001
Phone (954) 817-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141219000600 FL Practitioner - Optometry 4688997893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4919FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Excellence in Eyecare PA CurrentSince Jul 1, 2016 Accepting new patients

Locations

15955 SW 96th St
Ste 206
Miami, FL 33196
Phone (305) 598-2020

8940 N Kendall Dr
Ste 400E
Miami, FL 33176
Phone (305) 598-2020

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: morvarid.fallahzadeh.p1@direct.ceec.nextgenshare.com

Organizations & group practices 1

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1164837258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 OAK RIDGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253001",
            "telephone_number": "954-817-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 MARKET ST",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263663",
            "telephone_number": "954-384-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAHZADEH",
        "first_name": "MORVARID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.