Individual provider Active NPI

Mojgan Besharat, O.D.

  • Optometrist
  • Durham, NC
National Provider Identifier
1487677225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1657 Issued in NC
Practice address
6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286
Phone
(919) 484-9696
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1657 NC Primary

Addresses

Primary practice location

6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286

Mailing address

6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286
Phone (919) 484-9696

Other identifiers 1

IdentifierTypeStateIssuer
093J5OtherNCBLUE CROSS BLUE SHIELD

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
I20081113000565 NC Practitioner - Optometry 3072673508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Center Doctors of Optometry PAGroup PAC ID 6901883362, 12 clinicians

Practice addresses (Care Compare)

302 Cross Creek Mall
Fayetteville, NC 28303-7242
Phone (910) 867-4466

6910 Fayetteville Rd
Suite 296
Durham, NC 27713-8286
Phone (919) 484-9696

927 Boston Dr
D3
Burlington, NC 27215-8232
Phone (336) 586-1960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1657NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center, Doctors of Optometry, P.a. Optometrist CurrentSince Sep 3, 2008 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

927 Boston Dr
#D3
Burlington, NC 27215
Phone (336) 586-1960

927 Boston Dr
Burlington, NC 27215
Phone (336) 586-1960

1107 Walnut St
Ste 100
Cary, NC 27511
Phone (919) 460-0155

6910 Fayetteville Rd
Ste 296
Durham, NC 27713
Phone (919) 361-9488

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-4466

4325 Glenwood Ave
Ste 4001
Raleigh, NC 27612

4351 The Cir At North Hills St
Ste 107
Raleigh, NC 27609
Phone (919) 782-9091

3500 Oleander Dr
Ste R55
Wilmington, NC 28403

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487677225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 FAYETTEVILLE ROAD",
            "address_2": "SUITE 296",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138286",
            "telephone_number": "919-484-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 FAYETTEVILLE ROAD",
            "address_2": "SUITE 296",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138286",
            "telephone_number": "919-484-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHARAT",
        "first_name": "MOJGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "093J5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.