Mastoureh Ahmadpour, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT002671 Issued in GA

Practice address

1550 Arbor Place Mall
Douglasville, GA 30135-7108

Phone

(404) 931-3304

NPI assigned

Oct 4, 2011

Sex

Female

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 GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. Bruce E. Reid and Associates, PC

  • Optometrist
  • Kennesaw, GA
  • NPI 1568596500
  Medicare reassignment NPD
• Mark Lynn OD & Associates, PC

  • Optometrist
  • Lithonia, GA
  • NPI 1417055203
  Medicare reassignment NPD
• Zeena Optical LLC

  • Optometrist
  • Marietta, GA
  • NPI 1174263065
  NPD Authorized official
• Mark Lynn O.D. & Associates, PC

  • Eyewear Supplier
  • Savannah, GA
  • NPI 1518375500
  NPD

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1487938866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ARBOR PLACE MALL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357108",
            "telephone_number": "404-931-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 ARBOR PLACE MALL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357108",
            "telephone_number": "404-931-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADPOUR",
        "first_name": "MASTOUREH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT002671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adventa'S Hair Center
• Aegis Group Practice, LLC
• Affordable Family Home Care Services LLC
• Affordable Hearing AIDS, Inc
• Amr A Agha, M.D.
• Aiko Home Care
• Aj Investing Company
• Ajueyitst Holdings Inc
• Omowumi Mary Akintimehin-Ubeku, NURSE PRACTITIONER
• Florence Akinwumiju, N.D

• Corneal and Contact Management Optometrist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.