Organization Active NPI

Ahad Mahootchi, MD, PA

Doing business as The Eye Clinic of Florida

  • Ophthalmology Physician
  • Zephyrhills, FL
National Provider Identifier
1427005099
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
AHAD MAHOOTCHI, MD, PA
Doing business as
The Eye Clinic of Florida
Practice address
6739 Gall Blvd
Zephyrhills, FL 33542-2522
Phone
(813) 779-3338
Fax
(813) 779-3318
NPI assigned
May 28, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Ahad Mahootchi, MDNPI 1043218118
Title
President
Phone
(813) 779-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X FL
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X FL Primary
Eyewear Supplier 332H00000X FL

Addresses

Primary practice location

6739 Gall Blvd
Zephyrhills, FL 33542-2522

Mailing address

PO Box 1059
Zephyrhills, FL 33539-1059
Phone (813) 779-3338

Other identifiers 2

IdentifierTypeStateIssuer
DE5595OtherFLRAILROAD MEDICARE
97315OtherFLBCBS FLORIDA GROUP NUMBER

Other names 1

  • The Eye Clinic of Florida Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000357 FL Part B Supplier - Clinic/Group Practice 2466407671 Receives reassigned benefits from 3 practitioners
Practice locations: Zephyrhills, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1007796Ahad Mahootchi MD PA6739 Gall Blvd, Zephyrhills, FL 33542Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

Locations

6739 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 779-3338

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1427005099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335391059",
            "telephone_number": "813-779-3338",
            "fax_number": "813-779-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422522",
            "telephone_number": "813-779-3338",
            "fax_number": "813-779-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAD MAHOOTCHI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MAHOOTCHI",
        "authorized_official_first_name": "AHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-779-3338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5595",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA GROUP NUMBER",
            "identifier": "97315",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Clinic of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.