Individual provider Active NPI

Farah Gozini, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1720038524
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10324T Issued in CA
Practice address
11718 Barrington CT
Los Angeles, CA 90049-2930
Phone
(310) 440-9500
Fax
(310) 440-4405
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10324T CA Primary

Addresses

Primary practice location

11718 Barrington CT
Los Angeles, CA 90049-2930

Mailing address

11718 Barrington Court
Good Eye Optometry
Los Angeles, CA 90049-2930
Phone (310) 440-9500

Other identifiers 1

IdentifierTypeStateIssuer
SD0103240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051216000782 CA Practitioner - Optometry 8224059241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Good Eye IncGroup PAC ID 6406877422, 2 clinicians

Practice addresses (Care Compare)

11718 Barrington CT
Los Angeles, CA 90049-2930
Phone (310) 440-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10324TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes of the Marina Optometry Optometrist Current Accepting new patients

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1720038524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11718 BARRINGTON COURT",
            "address_2": "GOOD EYE OPTOMETRY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492930",
            "telephone_number": "310-440-9500",
            "fax_number": "310-440-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 BARRINGTON CT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492930",
            "telephone_number": "310-440-9500",
            "fax_number": "310-440-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZINI",
        "first_name": "FARAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10324T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.