Individual provider Active NPI

Ali Ghanbari, OD

  • Optometrist
  • Washington, DC
National Provider Identifier
1568990901
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000371 Issued in DC
Practice address
1330 Connecticut Ave NW
Washington, DC 20036-1704
Phone
(202) 785-5700
Fax
(202) 223-6315
NPI assigned
May 30, 2017
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35066 CA
Optometrist 152W00000X OP1000371 DC Primary
Optometrist 152W00000X 0618002563 VA

Addresses

Primary practice location

1330 Connecticut Ave NW
Washington, DC 20036-1704

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, CA3 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
I20171206001177 VA Practitioner - Optometry 9234496852 Reassigns benefits to 2 organizations
I20180104000354 DC Practitioner - Optometry 9234496852 Reassigns benefits to 3 organizations
I20220104002237 CA Practitioner - Optometry 9234496852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightrite Medical DC PLLCGroup PAC ID 7113279613, 2 clinicians
Myeyedr Optometry of DC LLCGroup PAC ID 6305063371, 15 clinicians

Practice addresses (Care Compare)

2425 25TH St SE
Transitional Care Center Capitol Ci
Washington, DC 20020-3409
Phone (212) 764-0008

3418 Wisconsin Ave NW
Washington, DC 20016-3009
Phone (202) 695-7278

8369 Leesburg Pike a
Vienna, VA 22182-2421
Phone (703) 506-0000

915 N Saint Asaph St
Suite 130
Alexandria, VA 22314-1531
Phone (703) 399-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35066CAMDPediatric Chiropractor
0618002563VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Nov 14, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Nov 14, 2017 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Total Vision PC Optometrist CurrentSince Sep 21, 2021 Accepting new patients
Onevision, Inc. Optometrist CurrentSince Dec 20, 2022 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Nov 14, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Nov 14, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 1, 2019 Accepting new patients
DRS. Liu & Longacre, Inc. Optometrist PastSince Apr 7, 2008 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations (25 of 29)

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

6155 Stoneridge Dr
Ste 100
Pleasanton, CA 94588
Phone (925) 463-2150

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

1776 G St NW
Ste 104
Washington, DC 20006
Phone (202) 298-6878

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

3418 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 547-0956

635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

650 Massachusetts Ave NW
Ste 140
Washington, DC 20001
Phone (202) 898-1060

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

6307 Richmond Hwy
Ste D
Alexandria, VA 22306
Phone (703) 269-9878

915 N Saint Asaph St
#130
Alexandria, VA 22314
Phone (703) 399-2021

1211 S Fern St
Arlington, VA 22202
Phone (703) 888-2999

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

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

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

9419 Lorton Market St
Lorton, VA 22079
Phone (703) 339-9833

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1568990901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361704",
            "telephone_number": "202-785-5700",
            "fax_number": "202-223-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANBARI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35066",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000371",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.