Active NPI
Homa Julie Niazi, O.D.
- Optometrist
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1896
- Practice address
- 701 Russell Ave
Lenscrafters, Lakeforest Mall
Gaithersburg, MD 20877-2631 - Phone
- (301) 963-0050
- Fax
- (301) 963-7773
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1896 | MD | Primary |
Addresses
Primary practice location
701 Russell Ave
Lenscrafters, Lakeforest Mall
Gaithersburg, MD 20877-2631
Mailing address
13016 Tamarack Rd
Silver Spring, MD 20904-1543
Phone (301) 257-3831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1896 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
Locations
8125 Sudley Rd
Manassas, VA 20109
Phone (703) 330-0090
11130L South Lakes Dr
Reston, VA 20191
Phone (703) 471-1012
8424 Old Keene Mill Rd
West Springfield, VA 22152
Phone (703) 288-1978
2700 Potomac Mills Cir
Ste 105
Woodbridge, VA 22192
Phone (703) 494-0660
Organizations & group practices 2
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.
-
dba Visionworks Doctors of Optometry
- Optometrist
- Vienna, VA
- NPI 1154354041
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346391893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13016 TAMARACK RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041543",
"telephone_number": "301-257-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 RUSSELL AVE",
"address_2": "LENSCRAFTERS, LAKEFOREST MALL",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772631",
"telephone_number": "301-963-0050",
"fax_number": "301-963-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIAZI",
"first_name": "HOMA",
"middle_name": "JULIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.