Sheeba Mohanan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001690 Issued in VA

Practice address

21031 Triple Seven Road
#170
Sterling, VA 20165

Phone

(703) 444-1462

Fax

(703) 444-5627

NPI assigned

Feb 7, 2008

Sex

Male

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 DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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.

• Daniel Poth, O.D. and Associates, P.C.

  • Optometrist
  • Vienna, VA
  • NPI 1154354041

  DC

  Medicare reassignment NPD
• Daniel Poth, O.D. and Associates, P.C.

  • Eyewear Supplier
  • Fairfax, VA
  • NPI 1093459182

  Optometrist

  NPD

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1437337805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 TRIPLE SEVEN ROAD",
            "address_2": "#170",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20165",
            "telephone_number": "703-444-1462",
            "fax_number": "703-444-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHANAN",
        "first_name": "SHEEBA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJ 247 Care Services LLC
• Mina Modaresi, DDS
• Mancy Modi
• Siddhant Modi
• Lindsay Moffatt
• Michelle Moinifar, O.D.
• Carolina Michelle Molina, LPC
• Momentum ABA Inc.
• Nooshin Monajemy, DDS
• Cindy Odaly Montoya

• Optometrist in Sterling, VA
• Providers in Sterling, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.