Babak Kamkar, O.D., Q.M.E.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8512T Issued in CA

Practice address

1104 E Colorado St
Glendale, CA 91205-1309

Phone

(818) 500-8008

Fax

(818) 500-8075

NPI assigned

Jun 27, 2005

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Dr. Bob Kamkar Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr B Kamkar, OD a Professional Optometry CorpGroup PAC ID 8921219932, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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 B Kamkar OD a Professional Optometry Corp

  dba Modern Optometry

  • Optometrist
  • Glendale, CA
  • NPI 1710190251
  Medicare reassignment Care Compare group NPD Authorized official
• Alliance Fideleity Corporation

  dba Alliance Home Health Services

  • Home Health Agency
  • Glendale, CA
  • NPI 1538353289
  NPD (past) Authorized official

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1801892450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051309",
            "telephone_number": "818-500-8008",
            "fax_number": "818-500-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051309",
            "telephone_number": "818-500-8008",
            "fax_number": "818-500-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMKAR",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "O.D., Q.M.E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8512T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT8512T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT8512T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "OPT8512T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "OPT8512T",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "960487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085121",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0085120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "KAMKAR",
            "prefix": "DR.",
            "credential": "O.D., Q.M.E.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Franklin Sau San Kam, D.C.
• Eric John Kamakea, M.P.T.
• Anita Kamarzarian, MD
• Eman Shoukri Kamel, M.D.
• Kametz Chiropractic
• Katherine Kampe
• Sirisin Kamsut, MD
• Kamyar Ebrahimi MD Apc
• Brian D Kan, M.D.
• Teru Judy Kanazawa, LCSW

• Optometrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.