Individual provider Active NPI

Firoozeh Nikfarjam, OD

  • Optometrist
  • Everett, WA
National Provider Identifier
1669436929
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3380 Issued in WA
Practice address
2003 132ND St SE
Everett, WA 98208-7140
Phone
(425) 337-3988
Fax
(425) 710-0895
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3380 WA Primary

Addresses

Primary practice location

2003 132ND St SE
Everett, WA 98208-7140

Mailing address

2003 132ND St SE
Everett, WA 98208-7140
Phone (425) 337-3988

Other identifiers 1

IdentifierTypeStateIssuer
3380OtherWALICENSE#

Other names 1

  • Firoozeh Nikfarjam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20140529002231 WA Practitioner - Optometry 5092938605 Practice locations: Everett, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3380WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Lawrence Jones & Assoc Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669436929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 132ND ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087140",
            "telephone_number": "425-337-3988",
            "fax_number": "425-710-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 132ND ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087140",
            "telephone_number": "425-337-3988",
            "fax_number": "425-710-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKFARJAM",
        "first_name": "FIROOZEH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "3380",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIROOZEH",
            "last_name": "NIKFARJAM",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.