Individual provider Active NPI

Neda Akhondan, OPTOMETRIST

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1497300495
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34310TLG Issued in CA
Practice address
380 W Portal Ave
San Francisco, CA 94127-1428
Phone
(415) 753-0284
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 34310TLG CA Primary

Addresses

Primary practice location

380 W Portal Ave
San Francisco, CA 94127-1428

Mailing address

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 832-3162

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Drakhondan@sfeyedoctors.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201230000133 CA Practitioner - Optometry 2062825565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Eye Centers Medical CorporationGroup PAC ID 1951290709, 6 clinicians

Practice addresses (Care Compare)

5801 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5440
Phone (925) 830-8823

Merit-based Incentive Payment System (MIPS)

Final score
71.88 of 100Reported as group
Quality
97.21
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34310CAMDDental Hygienist
34310TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Eye Centers Medical Corporation Single Specialty CurrentSince Jan 18, 2023 Accepting new patients
Solano Eyecare Optometric Professionals Optometrist PastSince Nov 16, 2021 Accepting new patients

Locations

8440 Brentwood Blvd
Ste D
Brentwood, CA 94513
Phone (925) 634-0303

5801 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 830-8823

Interoperability endpoints

  • Direct secure messaging: nakhondan@ebec.intellechartdirect.net

Organizations & group practices 3

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1497300495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102737",
            "telephone_number": "510-832-3162",
            "fax_number": "510-832-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W PORTAL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271428",
            "telephone_number": "415-753-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHONDAN",
        "first_name": "NEDA",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34310TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drakhondan@sfeyedoctors.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "460 Cola Ballena Apt A",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945013674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.