Individual provider Active NPI

Roshanak Namavari, O.D.

  • Optometrist
  • Irving, TX
National Provider Identifier
1831279363
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6906TG Issued in TX
Practice address
3341 Regent Blvd Ste 120
Irving, TX 75063-3131
Phone
(972) 910-8829
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6906TG TX Primary

Addresses

Primary practice location

3341 Regent Blvd Ste 120
Irving, TX 75063-3131

Mailing address

3341 Regent Blvd Ste 120
Irving, TX 75063-3131
Phone (972) 910-8829

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241008003300 TX Practitioner - Optometry 2769913243 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paul G. Hayter, O.D., P.C. Optometrist CurrentSince Sep 3, 2024 Accepting new patients
Anthony Chapman OD, PA Optometrist CurrentSince Sep 3, 2024 Accepting new patients

Locations

5706 E Mockingbird Ln
Ste 190
Dallas, TX 75206
Phone (214) 912-0698

3341 Regent Blvd
Ste 120
Irving, TX 75063
Phone (972) 910-8829

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1831279363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 REGENT BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633131",
            "telephone_number": "972-910-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 REGENT BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633131",
            "telephone_number": "972-910-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAVARI",
        "first_name": "ROSHANAK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6906TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.