Individual provider Active NPI

Navid Khoshooee, O.D.

  • Optometrist
  • Warner Robins, GA
National Provider Identifier
1689079451
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002845 Issued in GA
Practice address
1112 Russell Pkwy
Warner Robins, GA 31088-1816
Phone
(407) 749-8670
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002845 GA Primary

Addresses

Primary practice location

1112 Russell Pkwy
Warner Robins, GA 31088-1816

Mailing address

1112 Russell Pkwy
Warner Robins, GA 31088-1816

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
I20150317001620 GA Practitioner - Optometry 8426375114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
May accept Medicare assignment
Group practices
20-20 Optical Center LLCGroup PAC ID 3870095755, 4 clinicians
Georgia Family Eyecare LLCGroup PAC ID 6103114103, 3 clinicians

Practice addresses (Care Compare)

1112 Russell Pkwy
Suite C
Warner Robins, GA 31088-1819
Phone (478) 328-0900

678 Lake Joy Rd
Suite B
Kathleen, GA 31047-2375
Phone (478) 287-6600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Navid Reza Khoshooee OD LLC Optometrist CurrentSince Feb 22, 2017 Accepting new patients
Georgia Family Eyecare LLC Optometrist Current Accepting new patients
20-20 Optical Center LLC Optometrist CurrentSince Jul 15, 2025 Accepting new patients

Locations

678 Lake Joy Rd
Ste B
Kathleen, GA 31047
Phone (478) 287-6600

678 Lake Joy Rd
Kathleen, GA 31047

1112 Russell Pkwy
Warner Robins, GA 31088
Phone (407) 749-8670

1112 Russell Pkwy
Ste C
Warner Robins, GA 31088
Phone (478) 328-0900

1012 GA Highway 96
Ste 300
Warner Robins, GA 31088
Phone (478) 287-6600

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1689079451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 RUSSELL PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881816",
            "telephone_number": "407-749-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSHOOEE",
        "first_name": "NAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.