Vida Kazempour Matanagh

Primary specialty

OptometristTaxonomy code 152W00000X

License

60480159 Issued in WA

Practice address

400 Bellevue SQ
Bellevue, WA 98004-5002

Phone

(206) 272-0762

NPI assigned

Aug 6, 2014

Last updated

Mar 17, 2018By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vida Kazempour LLC

  • Optometrist
  • Redmond, WA
  • NPI 1871448027
  NPD Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356750111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 107TH PLACE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "206-272-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BELLEVUE SQ",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045002",
            "telephone_number": "206-272-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 148th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980525524",
            "country_code": "US",
            "telephone_number": "425-644-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZEMPOUR MATANAGH",
        "first_name": "VIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60480159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kay, OTR/L, CHT
• Ryan S Kaya, DPT
• Kalleiopi Kaye Salmick
• Madison Kaylor
• Sahell Kazemiyan
• Lori Ann Kazinec, LMP
• Kazuyo Asada PHD PLLC
• Jerry Steven Kear, PH..D.
• Valarie Ann Keaton, LMP
• Christopher John Keats, MD

• Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.