NPIMap

Organization Active NPI

Kiarash Bassiri, OD, PA

Doing business as Fusion Eye Care

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1770907966
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2055 Issued in NC
Legal business name
KIARASH BASSIRI, OD, PA
Doing business as
Fusion Eye Care
Practice address
6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-3600
Phone
(919) 977-7480
Fax
(919) 977-7481
NPI assigned
Feb 10, 2014
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Kiarash Bassiri, ODNPI 1598952681
Title
President
Phone
(919) 977-7480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2055 NC Primary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 2055 NC

Addresses

Primary practice location

6400 Creedmoor Rd
Suite 103
Raleigh, NC 27613-3600

Mailing address

6400 Creedmoor Rd Ste 103
Raleigh, NC 27613-4482
Phone (919) 977-7480

Other names 1

  • Fusion Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140501001315 NC Part B Supplier - Clinic/Group Practice 0840423646 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1770907966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CREEDMOOR RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134482",
            "telephone_number": "919-977-7480",
            "fax_number": "919-977-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CREEDMOOR RD",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133600",
            "telephone_number": "919-977-7480",
            "fax_number": "919-977-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIARASH BASSIRI, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BASSIRI",
        "authorized_official_first_name": "KIARASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-977-7480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2055",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "2055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.