Maurice Ebrahim Zadeh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA001234 Issued in GA

Practice address

910 Holcomb Bridge Rd
Ste 100
Roswell, GA 30076-1975

Phone

(770) 992-6789

Fax

(770) 640-6789

NPI assigned

Aug 26, 2005

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Maurice E. Zadeh, Optometrist, P.C.

  dba Family Eyecare of Roswell

  • Optometrist
  • Roswell, GA
  • NPI 1174515464
  Medicare reassignment NPD Authorized official
• Star Optometry Ga LLC

  dba InFocus Eyecare

  • Optometrist
  • Cumming, GA
  • NPI 1528944451
  Medicare reassignment NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1780677476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HOLCOMB BRIDGE RD",
            "address_2": "STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761975",
            "telephone_number": "770-992-6789",
            "fax_number": "770-664-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HOLCOMB BRIDGE RD",
            "address_2": "STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761975",
            "telephone_number": "770-992-6789",
            "fax_number": "770-640-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "MAURICE",
        "middle_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA001234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000641319A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Young, PA-C
• Alyssa Yount, M.ED., CCC-SLP
• Marc Ean Yune, MD
• Tracey Michele Yune, FNP-BC
• Heather Zacka, MOT, OTR/L
• Casie May Zahirsky, CRNA
• Hatice Sahin Zahran, M.D.
• Ashish Zinabhai Zalawadia, M.D.
• Richard David James Zambrowicz, LPC, NCC
• Alisa Zezetko, MD, MBA

• Optometrist in Roswell, GA
• Providers in Roswell, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.