Bita Moeinifar, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002751 Issued in CT

Practice address

1 Prestige Dr
Suite 107
Meriden, CT 06450-7164

Phone

(203) 639-0311

Fax

(203) 639-1489

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1306001789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611615",
            "telephone_number": "617-964-6681",
            "fax_number": "617-630-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE DR",
            "address_2": "SUITE 107",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507164",
            "telephone_number": "203-639-0311",
            "fax_number": "203-639-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEINIFAR",
        "first_name": "BITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mubarik N Mir
• Misbah M. Vahidy, MD, PC
• William C Mitchard, DPM
• Satina Mitchell, LCSW
• Fukami Mizuno
• Justin Tyrone Montanye, MD
• Danielle Marie Montesanto, APRN, PMHNP
• Liz Jessenia Morales, LCSW
• Robert F Morrison, M.D.
• David Anthony Moskal, C.R.N.A., A.P.R.N.

• Optometrist in Meriden, CT
• Providers in Meriden, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.