Individual provider Active NPI

Mohamed Kasmani, OD

  • Optometrist
  • Waldorf, MD
National Provider Identifier
1487713756
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1152 Issued in MD
Practice address
11110 Mall Cir
Waldorf, MD 20603-4803
Phone
(301) 705-8383
Fax
(301) 705-8388
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 TA1152 MD Primary

Addresses

Primary practice location

11110 Mall Cir
Waldorf, MD 20603-4803

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20050628001040 DC Practitioner - Optometry 1557307774 Reassigns benefits to 2 organizations
I20050809000351 MD Practitioner - Optometry 1557307774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45155 1St Colony Way
California, MD 20619-2416
Phone (301) 737-3082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Medical MD LLC Optometrist CurrentSince May 1, 2022 Accepting new patients
Dr. Kasmani & Associates, LLC Optometrist CurrentSince Jan 8, 2021 Accepting new patients
Sightrite Medical DC PLLC Optometrist CurrentSince May 1, 2022 Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

2425 25th St SE
Washington, DC 20020
Phone (202) 678-0013

45155 First Colony Way
California, MD 20619
Phone (301) 737-3082

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

600 Largo Rd
Uppr Marlboro, MD 20774
Phone (301) 350-5555

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487713756",
    "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": "11110 MALL CIR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034803",
            "telephone_number": "301-705-8383",
            "fax_number": "301-705-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASMANI",
        "first_name": "MOHAMED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.