Individual provider Active NPI

Neda Farahmand, OD

  • Optometrist
  • Gainesville, VA
National Provider Identifier
1629098439
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001573 Issued in VA
Practice address
7367 Atlas Walk Way
Gainesville, VA 20155-2992
Phone
(703) 753-7200
Fax
(703) 753-7661
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001573 VA Primary

Addresses

Primary practice location

7367 Atlas Walk Way
Gainesville, VA 20155-2992

Mailing address

1950 Old Gallows Rd
Ste. 100
Vienna, VA 22182-3990
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
10313295MedicaidVA
11609701OtherCAQH NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071011000229 VA Practitioner - Optometry 8628164365 Reassigns benefits to 2 organizations
I20180920003462 DC Practitioner - Optometry 8628164365

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince Aug 6, 2018 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 6, 2018 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 6, 2018 Accepting new patients

Locations

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

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121

9675 Liberia Ave
Ste 108
Manassas, VA 20110
Phone (703) 331-2122

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

1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

24570 Dulles Landing Dr
Unit 170
Sterling, VA 20166
Phone (571) 367-7610

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

1950 Old Gallows Rd
Ste 100
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1629098439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "STE. 100",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "703-847-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 ATLAS WALK WAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552992",
            "telephone_number": "703-753-7200",
            "fax_number": "703-753-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHMAND",
        "first_name": "NEDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10313295",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11609701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.