Farid Eghbali, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10108T Issued in CA

Practice address

2601 W Alameda Ave
#204
Burbank, CA 91505-4800

Phone

(818) 846-9999

Fax

(818) 846-3160

NPI assigned

Jan 24, 2006

Sex

Male

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 CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eghbali Medical Surgical IncGroup PAC ID 4981893088, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Eghbali Medical Surgical Inc

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1831406693
  Medicare reassignment Care Compare group NPD Authorized official
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1386614386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "#204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-846-9999",
            "fax_number": "818-846-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "#204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-846-9999",
            "fax_number": "818-846-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHBALI",
        "first_name": "FARID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10108T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward C. Joseph DDS, Apc
• Jessica Edwards, PT, DPT
• Sarah Edwards
• Eg Home Health Care, Inc.
• Eghbali Medical Surgical Inc
• Kourosh Eghbali, M.D.
• Eileen Fran Schwartz
• Hailey Einhardt
• Daniel Alexander Eisenberg, MD
• Yael Eiserike, LCSW

• Optometrist in Burbank, CA
• Providers in Burbank, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.