Mahsa Hosseini-Modarres, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4747 Issued in FL

Practice address

9 N Valencia Dr
Davie, FL 33324-5410

Phone

(954) 560-6983

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mahsa Modares Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1598014557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N VALENCIA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245410",
            "telephone_number": "954-560-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N VALENCIA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245410",
            "telephone_number": "954-560-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI-MODARRES",
        "first_name": "MAHSA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHSA",
            "last_name": "MODARES",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jordan S Horowitz
• Elianet Horta
• Elizabeth Marie Horta, D.M.D
• Kaelie Hosley
• Atia Hossain
• Timothy Lee Hottel, D.D.S.
• Kerri Houck, ATC
• Cheri Lee Houle
• Justin Houser
• Miranda Howard, LMFT

• Optometrist in Davie, FL
• Providers in Davie, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.