Negin Nooshin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7223TG Issued in TX

Practice address

9262 Culebra Rd
San Antonio, TX 78251-3571

Phone

(210) 647-4733

Fax

(210) 647-4741

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Stuart a Terry MD PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1558336412

  Single Specialty

  Medicare reassignment NPD
• Vivid Eye Care

  • Optometrist
  • San Antonio, TX
  • NPI 1124382221
  NPD (past) Authorized official

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1669795274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9262 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513571",
            "telephone_number": "210-647-4733",
            "fax_number": "210-647-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9262 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513571",
            "telephone_number": "210-647-4733",
            "fax_number": "210-647-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOSHIN",
        "first_name": "NEGIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "TX7223TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7223TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280291002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alia Noohu Nazarullah, M.D.
• Allen D Noorily, M.D.
• Susan H Noorily, M.D.
• Talia Jayne Noorily
• Zohra Irshad Nooruddin, M.D.
• Nora I Valdes MD PA
• Nora Lee Walker MD PA
• Kristi Rae Norcross, CNM
• Norcubi PLLC
• Lacey Nordby, PTA

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.