Individual provider Active NPI

Cia Ghavami, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1427232586
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3114 Issued in FL
Practice address
11025 SW 15TH MNR
Davie, FL 33324-7140
Phone
(305) 892-8555
Fax
(305) 892-5007
NPI assigned
Dec 26, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3114 FL Primary

Addresses

Primary practice location

11025 SW 15TH MNR
Davie, FL 33324-7140

Mailing address

11025 SW 15TH MNR
Davie, FL 33324-7140
Phone (305) 892-8555

Other names 1

  • Dr. Cia Ghavami Professional name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170711002858 FL Practitioner - Optometry 4385913094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3114FLMDOptometrist
3174FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Eyesight Inc Optometrist CurrentSince Sep 29, 2024 Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Locations

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1427232586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 SW 15TH MNR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247140",
            "telephone_number": "305-892-8555",
            "fax_number": "305-892-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 SW 15TH MNR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247140",
            "telephone_number": "305-892-8555",
            "fax_number": "305-892-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAVAMI",
        "first_name": "CIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIA",
            "last_name": "GHAVAMI",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.