Rosita Ghazanfari, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8943 Issued in TX

Practice address

5442 La Sierra Dr
Dallas, TX 75231-4108

Phone

(214) 828-9900

Fax

(214) 828-9901

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dallas Services

  • Optometrist
  • Dallas, TX
  • NPI 1245255108
  Medicare reassignment NPD

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1609130095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314108",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 LA SIERRA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314108",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZANFARI",
        "first_name": "ROSITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393553201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gharibgroup LLC
• Mahan Ghasemi
• Maria Ghawji, M.B.B.S
• Arjumand Ghayas, MD
• Ashna Ghazal, MD
• Degian Ghebermicael, MD
• Michelle Alexandra Ghebranious Farag, MD
• Dawit Ghebrehiwot
• Bereket Fessehaye Ghebreyouhans
• Taryn Gheen

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.