Mahsa Mana Emam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

60938554 Issued in WA

Practice address

2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782

Phone

(206) 232-1633

Fax

(206) 232-2502

NPI assigned

Feb 28, 2019

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

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

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.

• Sea Family Eye Care, PLLC

  • Optometrist
  • Mercer Island, WA
  • NPI 1124459193
  Medicare reassignment NPD

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1396202016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 143RD AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593261",
            "telephone_number": "206-498-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE STE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402782",
            "telephone_number": "206-232-1633",
            "fax_number": "206-232-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAM",
        "first_name": "MAHSA",
        "middle_name": "MANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60938554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Efseaff, MPT
• Valerie J Eggers, MSPT
• Donna Sirjord Ellis, LMHC
• Larah Ellis
• Julie Ellner, M.D.
• Hali Carson Enderby, DC
• Epiphany Dermatology of Washington PLLC
• Victoria Erman
• Eye Clinic of Bellevue LTD PS
• Robert Carl Faine, DDS

• Optometrist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.