Active NPI
Neda Akhondan, OPTOMETRIST
- Optometrist
- San Francisco, CA
National Provider Identifier
1497300495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34310TLG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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 100
- Quality
- 97.21
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34310 | CA | MD | Dental Hygienist |
| 34310TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Eye Centers Medical Corporation | Single Specialty | Current | Accepting new patients |
| Solano Eyecare Optometric Professionals | Optometrist | Past | 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
- 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.
-
- Specialist
- San Ramon, CA
- NPI 1780633644
CA, Single Specialty
-
- Optometrist
- Albany, CA
- NPI 1316005671
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.