Individual provider Active NPI

Arash Mansouri, MD

  • Ophthalmology Physician
  • Fredericksburg, VA
National Provider Identifier
1780662312
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101840394 Issued in VA
Practice address
110 Cambridge St
Fredericksburg, VA 22405-1924
Phone
(540) 371-2020
Fax
(540) 373-0141
NPI assigned
Jan 4, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101840394 VA Primary

Addresses

Primary practice location

110 Cambridge St
Fredericksburg, VA 22405-1924

Mailing address

110 Cambridge St
Fredericksburg, VA 22405-1924
Phone (540) 371-2020

Other practice location 1

4516 Plank Rd
Fredericksburg, VA 22407-0147
Phone (540) 371-2020

Other identifiers 2

IdentifierTypeStateIssuer
6308384MedicaidVA
180037939OtherVAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000436 VA Practitioner - Ophthalmology 7517994544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Eye Centers IncGroup PAC ID 5193710036, 9 clinicians

Practice addresses (Care Compare)

110 Cambridge St
Fredericksburg, VA 22405-1924
Phone (540) 371-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery865

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101840394VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Eye Centers, Inc. Ophthalmology CurrentSince Apr 1, 2001 Accepting new patients
Access Eye Centers, Inc. Ophthalmology CurrentSince Apr 5, 2008 Accepting new patients
John R. Karickhoff, M,D, P.C. Ophthalmology PastSince Jan 8, 2010 Accepting new patients

Locations

110 Cambridge St
Fredericksburg, VA 22405
Phone (540) 371-2020

4516 Plank Rd
Fredericksburg, VA 22407
Phone (540) 371-2020

4701 Spotsylvania Pkwy
Ste 110
Fredericksburg, VA 22407
Phone (540) 371-2020

7961 Kings Hwy
King George, VA 22485
Phone (540) 371-2020

2761 Richmond Hwy
Ste 205
Stafford, VA 22554
Phone (540) 371-2020

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1780662312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051924",
            "telephone_number": "540-371-2020",
            "fax_number": "540-373-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051924",
            "telephone_number": "540-371-2020",
            "fax_number": "540-373-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224070147",
            "country_code": "US",
            "telephone_number": "540-371-2020",
            "fax_number": "540-373-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOURI",
        "first_name": "ARASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101840394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6308384",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180037939",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.