Active NPI
Ladan Mohtadi Rouhani, O.D.
- Optometrist
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8377T
- Practice address
- 8380 Warren Pkwy
Ste 605
Frisco, TX 75034-4253 - Phone
- (972) 668-3131
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8377T | TX | Primary |
| Optometrist | 152W00000X | 12618T | CA |
Addresses
Primary practice location
8380 Warren Pkwy
Ste 605
Frisco, TX 75034-4253
Mailing address
8380 Warren Pkwy
Ste 605
Frisco, TX 75034-4253
Other practice location 1
3405 Midway Rd Ste 421
Plano, TX 75093-8144
Phone (972) 801-2727
Other names 1
- Ladan Charlene Mohtadi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12618T | CA | MD | Optometrist |
| 8377T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Total Vision PC | Optometrist | Past | Accepting new patients |
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Los Gatos Eye Care a Professional Optometric Corporation | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients | |
| J Pietrantonio OD Inc | Optometrist | Past | Accepting new patients |
Locations
6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020
3405 Midway Rd
Ste 421
Plano, TX 75093
Phone (972) 801-2727
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1487719274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8380 WARREN PKWY",
"address_2": "STE 605",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 WARREN PKWY",
"address_2": "STE 605",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344253",
"telephone_number": "972-668-3131"
}
],
"practiceLocations": [
{
"address_1": "3405 Midway Rd Ste 421",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938144",
"country_code": "US",
"telephone_number": "972-801-2727",
"fax_number": "972-943-3485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUHANI",
"first_name": "LADAN",
"middle_name": "MOHTADI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8377T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12618T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LADAN",
"last_name": "MOHTADI",
"middle_name": "CHARLENE",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.