Individual provider Active NPI

Farzana A. Virani, O.D.

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1356481428
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002261 Issued in GA
Practice address
1415 Wooten Lake Rd NW Ste 100
Kennesaw, GA 30144-1342
Phone
(770) 424-2020
Fax
(770) 573-4352
NPI assigned
Feb 7, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002261 GA Primary

Addresses

Primary practice location

1415 Wooten Lake Rd NW Ste 100
Kennesaw, GA 30144-1342

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130716000829 GA Practitioner - Optometry 7012157910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians
Mount Vernon Eye Care, P.C.Group PAC ID 5294888327, 2 clinicians

Practice addresses (Care Compare)

1409 Sixes Rd
Canton, GA 30114-8950
Phone (770) 852-2733

1611 Mount Vernon Rd
Dunwoody, GA 30338-4224
Phone (770) 393-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002261GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Mount Vernon Eye Care, P.C. Optometrist CurrentSince May 24, 2013 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Frances D. McMullan, MD, PC PastSince May 24, 2013 Accepting new patients

Locations

3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012

3872 Roswell Rd NE
Ste A4
Atlanta, GA 30342
Phone (404) 927-8194

800 Peachtree St NE
Ste E1
Atlanta, GA 30308
Phone (678) 732-3432

860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733

1611 Mount Vernon Rd
Dunwoody, GA 30338
Phone (770) 393-0003

1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020

250 E Crossville Rd
Roswell, GA 30075
Phone (770) 720-4449

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: fvirani020258@myeyedr.emadirect.md

Organizations & group practices 5

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356481428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WOOTEN LAKE RD NW STE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441342",
            "telephone_number": "770-424-2020",
            "fax_number": "770-573-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRANI",
        "first_name": "FARZANA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.