Individual provider Active NPI

Yasmine Moharer-Sanaei, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1760265128
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10976T Issued in TX
Practice address
2366 Rice Blvd Ste a
Houston, TX 77005-2646
Phone
(713) 521-2020
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10976T TX Primary

Addresses

Primary practice location

2366 Rice Blvd Ste a
Houston, TX 77005-2646

Mailing address

1030 Orchard Hill St
Houston, TX 77077-1128
Phone (832) 656-9219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241009001074 TX Practitioner - Optometry 0446781876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

2366 Rice Blvd
Suite a
Houston, TX 77005-2646
Phone (713) 521-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
10976TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Today'S Vision at Rice Village Optometrist CurrentSince Aug 27, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 26, 2024 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

2366 Rice Blvd
Ste A
Houston, TX 77005
Phone (713) 521-2020

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1760265128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ORCHARD HILL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771128",
            "telephone_number": "832-656-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 RICE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052646",
            "telephone_number": "713-521-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHARER-SANAEI",
        "first_name": "YASMINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10976T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.