Individual provider Active NPI

Mojgan Haghshenas, OD

  • Optometrist
  • Centreville, VA
National Provider Identifier
1386678324
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001066 Issued in VA
Practice address
14245E Centreville SQ
Centreville, VA 20121-2368
Phone
(703) 830-2010
Fax
(703) 818-7014
NPI assigned
Jul 10, 2006
Last updated
Jan 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1688 MD
Optometrist 152W00000X 0618001066 VA Primary

Addresses

Primary practice location

14245E Centreville SQ
Centreville, VA 20121-2368

Mailing address

1950 Old Gallows Rd Ste 100
Vienna, VA 22182-3933
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081209000552 DC Practitioner - Optometry 0547348856
I20181010001228 VA Practitioner - Optometry 0547348856 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24635 Dulles Landing Dr
Dulles, VA 20166-2614
Phone (703) 270-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1688MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dulles Family Eyecare LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 6, 2018 Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince Aug 6, 2018 Accepting new patients
Leesburg Family Eyecare Optometrist CurrentSince Jan 6, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 6, 2018 Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

19360 Compass Creek Pkwy
Leesburg, VA 20175
Phone (703) 259-4817

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

24635 Dulles Landing Dr
Sterling, VA 20166
Phone (571) 367-3038

1950 Old Gallows Rd
Ste 100
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1386678324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823933",
            "telephone_number": "703-847-8899",
            "fax_number": "703-847-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14245E CENTREVILLE SQ",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212368",
            "telephone_number": "703-830-2010",
            "fax_number": "703-818-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHSHENAS",
        "first_name": "MOJGAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1688",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.