Active NPI
Mojgan Haghshenas, OD
- Optometrist
- Centreville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001066
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| TA1688 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulles Family Eyecare LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Dulles Optometry, LLC | Optometrist | Current | Accepting new patients |
| Leesburg Family Eyecare | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Dulles, VA
- NPI 1124640289
-
- Optometrist
- Leesburg, VA
- NPI 1922869635
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.