Neka Hafezzadeh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2722 Issued in CO

Practice address

1610 Pace St
Suite 600
Longmont, CO 80504-2238

Phone

(720) 204-6891

Fax

(720) 204-6852

NPI assigned

Jun 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hafezzadeh Vision LLC

  • Optometrist
  • Longmont, CO
  • NPI 1891179669

  CO, Optometrist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1295963320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 PACE ST",
            "address_2": "SUITE 600",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042238",
            "telephone_number": "720-204-6891",
            "fax_number": "720-204-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 PACE ST",
            "address_2": "SUITE 600",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042238",
            "telephone_number": "720-204-6891",
            "fax_number": "720-204-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEZZADEH",
        "first_name": "NEKA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 2722",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H. Noelle Vaughn, Ms, Otr/L LLC
• H&H Optometry, P.C.
• Whitney Reed Haas, D.C.
• Dominica Annabeth Hadley, PA-C
• Hafezzadeh Vision LLC
• Shan Daniel Hager, D.C.
• Sarah Haggerty, LPC
• Kathrine Marie Hak, PH.D.
• Kalli Hale, M.S.
• Haleh Nekoorad-Long,M.D.,P.C.

• All providers in Longmont, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.