Individual provider Active NPI

Nima Mazhari, O.D.

  • Optometrist
  • Gastonia, NC
National Provider Identifier
1710092309
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2032 Issued in NC
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

Updated by the provider on May 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1710092309OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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

Enrollment IDStateProvider typePAC IDDetails
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 AssociatesGroup PAC ID 7618945437, 10 clinicians

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 100Reported as group
Quality
80.98
Improvement activities
40
Cost
79.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2032NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Eye Associates Optometrist CurrentSince Nov 30, 2020 Accepting new patients
Gaston Eye Associates Optometrist CurrentSince Nov 30, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.