Active NPI
Nima Mazhari, O.D.
- Optometrist
- Gastonia, NC
National Provider Identifier
1710092309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2032
- Practice address
- 2325 Aberdeen Blvd Ste a
Gastonia, NC 28054-0642 - Phone
- (704) 853-3937
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1448 | SC | |
| Optometrist | 152W00000X | 2032 | NC | Primary |
Addresses
Primary practice location
2325 Aberdeen Blvd Ste a
Gastonia, NC 28054-0642
Mailing address
1091 Currituck Way
York, SC 29745-2887
Phone (803) 628-8762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710092309 | Other | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121010000301 | SC | Practitioner - Optometry | 2668503152 | |
| I20201102001921 | NC | Practitioner - Optometry | 2668503152 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gaston Eye Associates
Practice addresses (Care Compare)
2325 Aberdeen Blvd a
Gastonia, NC 28054-0642
Phone (704) 853-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.21 of 100
- Quality
- 80.98
- Improvement activities
- 40
- Cost
- 79.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2032 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Eye Associates | Optometrist | Current | Accepting new patients |
| Gaston Eye Associates | Optometrist | Current | Accepting new patients |
Locations
2325 Aberdeen Blvd
Ste A
Gastonia, NC 28054
Phone (704) 853-3937
2325 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 853-3937
Interoperability endpoints
- nmazhari@gastoneye.eyeclinicdirect.net
Organizations & group practices 2
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.
-
- Optometrist
- Dallas, NC
- NPI 1770565939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1710092309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 CURRITUCK WAY",
"city": "YORK",
"state": "SC",
"postal_code": "297452887",
"telephone_number": "803-628-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 ABERDEEN BLVD STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540642",
"telephone_number": "704-853-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZHARI",
"first_name": "NIMA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1448",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1710092309",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.