Shabnam Habibi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35204 Issued in CA

Practice address

1025 N Brand Blvd Ste 200
Glendale, CA 91202-3638

Phone

(818) 583-9933

NPI assigned

Jul 9, 2022

Last updated

Apr 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center Optometrics a Professional CorporationGroup PAC ID 4385613595, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shabibi@californiaeye.intellechartdirect.net

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.

• Eye Center Optometrics, a Professional Corporation

  • Optometrist
  • Citrus Heights, CA
  • NPI 1245369024
  Medicare reassignment Care Compare group NPD (past)
• Perception Optometry

  • Optometrist
  • La Canada, CA
  • NPI 1356001440
  Medicare reassignment NPD
• Azul Vision Inc.

  dba Azul Vision

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1285247528

  Optometrist

  NPD
• Eye Center Optometrics, a Professional Corporation

  dba EYEcenter Optometric

  • Optometrist
  • Citrus Heights, CA
  • NPI 1619440567
  NPD
• Eyecenter Optometrics, a Professional Corporation

  • Optometrist
  • Gold River, CA
  • NPI 1346576295
  NPD

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1396479028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11347 BLOOMINGTON WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N BRAND BLVD STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023638",
            "telephone_number": "818-583-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBI",
        "first_name": "SHABNAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haab Hospice Care Inc
• Haas Specialty Surgery Center
• Haas Spine & Orthopaedics
• Haas Wellness Center
• Salma Hashmat Habib
• Gare Hack
• Philip Hackett, MD
• Elin Hadidian
• Shane Sinfuego Haff
• Casey Wels Hagerman, NBC-HWC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.
• 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.