Individual provider Active NPI

Yasmine Fozooni, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1558417709
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000061 Issued in DC
Practice address
1808 I St NW
Washington, DC 20006-5416
Phone
(202) 331-3931
Fax
(202) 331-3932
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001067 VA
Optometrist 152W00000X OP1000061 DC Primary

Addresses

Primary practice location

1808 I St NW
Washington, DC 20006-5416

Mailing address

3728 Windom PL NW
Washington, DC 20016-2239
Phone (202) 439-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040614000397 DC Practitioner - Optometry 1456333004 Reassigns benefits to 1 organization
I20190905001330 MD Practitioner - Optometry 1456333004 Reassigns benefits to 2 organizations
I20220502001257 VA Practitioner - Optometry 1456333004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Sightrite Medical MD LLC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
East Memphis Eye Associates PLLC Optometrist Past Accepting new patients
Cabin John Optometry, LLC Optometrist Past Accepting new patients

Locations

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

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

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Organizations & group practices 10

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1558417709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 WINDOM PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162239",
            "telephone_number": "202-439-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 I ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065416",
            "telephone_number": "202-331-3931",
            "fax_number": "202-331-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOZOONI",
        "first_name": "YASMINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001067",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.