Amir Ghassom Abyaneh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2203 Issued in MD

Practice address

2955 Crain Hwy
Suite a & B
Waldorf, MD 20601-2810

Phone

(301) 843-1000

NPI assigned

Aug 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Medicare enrollment (NPD)

Enrolled

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.

• Myeyedr Optometry of Virginia PLLC

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Falls Church, VA
  • NPI 1710343744

  DC, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • MC Lean, VA
  • NPI 1447628284
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Myeyedr Optometry of Virginia, PPLC

  • Optometrist
  • Fredericksburg, VA
  • NPI 1164890901
  NPD
• Doctors on Sight, Optometrists, Inc.

  • Optometrist
  • Waldorf, MD
  • NPI 1700801339
  NPD (past)
• Eye Deal Vision Center, LLC.

  • Optometrist
  • Waldorf, MD
  • NPI 1013223338
  NPD (past)
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Winchester, VA
  • NPI 1306294145
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1699089201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206041800",
            "telephone_number": "301-843-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 CRAIN HWY",
            "address_2": "SUITE A & B",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012810",
            "telephone_number": "301-843-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABYANEH",
        "first_name": "AMIR",
        "middle_name": "GHASSOM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-06",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2203",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolute Physical Therapy, LLC
• Yemisi Adeola Abudu
• Silvia M Abularach, M.D.
• Agnes Nengi Abungwi Akwanga, LPN
• Daniel Abungwi, RN
• Accokeek Community Development Corp
• Ace Health Services Inc.
• Jamika Acevedo
• Regina Erang Achem
• Sylivia Acholonu

• All providers in Waldorf, MD
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.