Individual provider Active NPI

Sadaf Sabahi, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1205139300
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4317 Issued in OR
Practice address
7417 SW Beaverton Hillsdale Hwy Ste 200
Portland, OR 97225-2100
Phone
(503) 000-0000
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4317 OR Primary

Addresses

Primary practice location

7417 SW Beaverton Hillsdale Hwy Ste 200
Portland, OR 97225-2100

Mailing address

7417 SW Beaverton Hillsdale Hwy Ste 200
Portland, OR 97225-2100

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
I20200327002192 OR Practitioner - Optometry 7012229552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7417 SW Beaverton Hillsdale Hwy
Suite 200
Portland, OR 97225-2100

7417 SW Beaverton Hillsdale Hwy 200
Portland, OR 97225-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4317ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Eye Care of Portland LLC Optometrist CurrentSince Nov 27, 2019 Accepting new patients

Locations

7417 SW Beaverton Hwy
Ste 200
Portland, OR 97225
Phone (503) 291-7155

7417 SW Beaverton Hwy
Portland, OR 97225
Phone (503) 291-7155

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1205139300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 SW BEAVERTON HILLSDALE HWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 SW BEAVERTON HILLSDALE HWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252100",
            "telephone_number": "503-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAHI",
        "first_name": "SADAF",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.