Individual provider Active NPI

Sabah Mian, O.D.

  • Optometrist
  • Statesville, NC
National Provider Identifier
1427346212
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2578 Issued in NC
Practice address
1729 Davie Ave
Statesville, NC 28677-3521
Phone
(704) 873-0524
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2022 SC
Optometrist 152W00000X 2578 NC Primary

Addresses

Primary practice location

1729 Davie Ave
Statesville, NC 28677-3521

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191021001149 NC Practitioner - Optometry 1850551128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1729 Davie Ave
Statesville, NC 28677-3521
Phone (704) 873-0524

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2578NCMDClinical Psychologist
007727NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Oct 7, 2019 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Oct 7, 2019 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients
Clearview Ophthalmology PC PastSince Feb 19, 2023 Accepting new patients
Clearview Ophthalmology,PC Past Accepting new patients

Locations

1823 E Arbors Dr
Ste 325
Charlotte, NC 28262
Phone (704) 971-5000

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

584 Church St N
Concord, NC 28025
Phone (704) 782-0677

19900 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-1000

9918 Knockando Ln
Ste 140
Huntersville, NC 28078
Phone (704) 237-3910

4949 Professional Park Dr
Ste 202
Kannapolis, NC 28081
Phone (704) 938-9777

1729 Davie Ave
Statesville, NC 28677
Phone (704) 873-0524

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1427346212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773521",
            "telephone_number": "704-873-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "SABAH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2022",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.