Jinous Ferdosian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD70571991 Issued in WA

Practice address

17130 Avondale Way NE Ste 111
Redmond, WA 98052-4455

Phone

(425) 885-6600

Fax

(425) 855-6850

NPI assigned

Nov 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jinous.ferdosian.p70@direct.proliance.nextgenshare.com

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.

• Jinous Ferdosian LLC

  • Optometrist
  • Lynnwood, WA
  • NPI 1710775630
  Medicare reassignment NPD Authorized official
• Doris Wong OD PS

  • Optometrist
  • Renton, WA
  • NPI 1528148327
  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment NPD
• Vision Plus of Ballard PS

  • Optometrist
  • Seattle, WA
  • NPI 1417394859
  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons, Inc., P.S.

  • Ophthalmology Physician
  • Redmond, WA
  • NPI 1275726739

  Optometrist

  NPD
• Vision Plus Inside Snohomish Top Foods PS

  • Optometrist
  • Snohomish, WA
  • NPI 1780917872
  NPD (past)

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1366816340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17130 AVONDALE WAY NE STE 111",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524455",
            "telephone_number": "425-885-6600",
            "fax_number": "425-855-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 AVONDALE WAY NE STE 111",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524455",
            "telephone_number": "425-885-6600",
            "fax_number": "425-855-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDOSIAN",
        "first_name": "JINOUS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD70571991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068399",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Fascenda
• Caerissa G Fawkes, BSN, RN
• Annette Fechenbach
• Deeann Feil, M.D.
• Marcy Feinstein, MSW, LICSW
• Brien Peter Ferguson
• Cambie Ferguson, SUDPT
• Michael Fine, ATC, AT/L
• Jaime Fischer, M.A., LMHC
• Brenton Wachtell Fisher, RBT, CBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.

Verify at the official NPI Registry.