Individual provider Active NPI

Babak Hosseini, O.D.

  • Optometrist
  • Bethesda, MD
National Provider Identifier
1225390446
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2304 Issued in MD
Practice address
7101 Democracy Blvd
Suite 1800
Bethesda, MD 20817-1018
Phone
(301) 365-3670
Fax
(301) 365-4583
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2304 MD Primary

Addresses

Primary practice location

7101 Democracy Blvd
Suite 1800
Bethesda, MD 20817-1018

Mailing address

11739 Devilwood Dr
Potomac, MD 20854-3405
Phone (240) 281-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120719000304 DC Practitioner - Optometry 7113183146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Ophthalmology LLCGroup PAC ID 4587795687, 17 clinicians

Practice addresses (Care Compare)

11300 Rockville Pike
Suite 1202
Rockville, MD 20852-3040
Phone (301) 896-0890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Ophthalmology LLC CurrentSince Jun 23, 2013 Accepting new patients

Locations

4301 Connecticut Ave NW
Ste 125
Washington, DC 20008
Phone (202) 362-4545

26135 Ridge Rd
Damascus, MD 20872
Phone (301) 253-6565

11300 Rockville Pike
Ste 1202
Rockville, MD 20852
Phone (301) 896-0890

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, 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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1225390446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11739 DEVILWOOD DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543405",
            "telephone_number": "240-281-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 DEMOCRACY BLVD",
            "address_2": "SUITE 1800",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171018",
            "telephone_number": "301-365-3670",
            "fax_number": "301-365-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.