Individual provider Active NPI

Neda Varasteh, OD

  • Optometrist
  • Delray Beach, FL
National Provider Identifier
1679142244
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT3859 Issued in TN
Practice address
1615 S Congress Ave Ste 105
Delray Beach, FL 33445-6326
Phone
(561) 208-8930
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT2395 SC
Optometrist 152W00000X OPT3859 TN Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT003319 GA

Addresses

Primary practice location

1615 S Congress Ave Ste 105
Delray Beach, FL 33445-6326

Mailing address

1615 S Congress Ave Ste 105
Delray Beach, FL 33445-6326

Other names 1

  • Neda Norouzi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20211206001936 GA Practitioner - Optometry 1658761622 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003319GAMDOptometrist
OPT2395SCMDOptometrist
OPT3859TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist CurrentSince Sep 3, 2021 Accepting new patients
Family First Vision Care Georgia Optometrist CurrentSince Apr 12, 2023 Accepting new patients
Mobile Medical Eye Care LLC Optometrist CurrentSince Nov 22, 2022 Accepting new patients
Alpharetta Vision Care, LLC Optometrist Past Accepting new patients

Locations

4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717

200 Ashford Ctr N
Ste 305
Atlanta, GA 30338

4800 Briarcliff Rd NE
#1173
Atlanta, GA 30345
Phone (770) 493-9171

400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

316 S Hamilton Rd
Gahanna, OH 43230

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1679142244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S CONGRESS AVE STE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S CONGRESS AVE STE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456326",
            "telephone_number": "561-208-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARASTEH",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT2395",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OPT3859",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEDA",
            "last_name": "NOROUZI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.