Individual provider Active NPI

Mersedeh Safari Snider, O.D.

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1194895169
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3134AT Issued in OR
Practice address
720 SE 160TH Ave
Ste 103
Vancouver, WA 98684
Phone
(360) 816-4411
Fax
(360) 836-5373
NPI assigned
Nov 8, 2006
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3134AT OR Primary
Optometrist 152W00000X 3996 WA

Addresses

Primary practice location

720 SE 160TH Ave
Ste 103
Vancouver, WA 98684

Mailing address

720 SE 160TH Ave Ste 103
Vancouver, WA 98684-8912
Phone (360) 253-2781

Other names 1

  • Mersedeh Safari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160420002613 OR Practitioner - Optometry 8123052933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5901 S Macadam Ave
Suite 105
Portland, OR 97239-3620
Phone (503) 222-2990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3134ATORMDOptometrist
3996WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Macadam Eye Care, P.C. Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Greg Schober PC Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Lena Barghouti-Afranji & Associates Professional Corp Optometrist PastSince Feb 15, 2011 Accepting new patients
Barnes Elite Eye Care Optometrist Past Accepting new patients

Locations

5901 S Macadam Ave
Ste 105
Portland, OR 97239
Phone (503) 222-2990

Organizations & group practices 6

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1194895169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SE 160TH AVE STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848912",
            "telephone_number": "360-253-2781",
            "fax_number": "360-253-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE 160TH AVE",
            "address_2": "STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-816-4411",
            "fax_number": "360-836-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFARI SNIDER",
        "first_name": "MERSEDEH",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3134AT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERSEDEH",
            "last_name": "SAFARI",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.