Hediyeh Arjomandi, O.D.
Individual provider Active NPI Optometrist · Frederick, MD
NPI 1760807481 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1760807481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TA2400 (MD)
- Practice address
- 1052 W Patrick St
Frederick, MD 21703-3963 - Phone
- (301) 620-7307
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
10810 Connecticut Ave
Kensington, MD 20895-2138
Phone (301) 929-7100
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140623000394 | DC | Practitioner - Optometry | 5991929556 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA2400 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Alexander C Nnabue and Associates PA | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current |
Accepting new patients |
| Argos Vision and Eye Care Center, LLC | Current |
Accepting new patients |
Locations
15920 Shady Grove Rd
Gaithersburg, MD 20877
Phone (240) 482-9474
6088 Greenbelt Rd
Unit 44
Greenbelt, MD 20770
Phone (301) 614-3937
10240 Lake Arbor Way
Mitchellville, MD 20721
Phone (301) 324-9500
2101 E Jefferson St
Ste 4E
Rockville, MD 20852
Phone (301) 816-7405
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2400 | MD | Yes |
Addresses
Primary practice location
1052 W Patrick St
Frederick, MD 21703-3963
Mailing address
1052 W Patrick St
Frederick, MD 21703-3963
Phone (301) 620-7307
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.