Hafezzadeh Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2722 Issued in CO

Legal business name

HAFEZZADEH VISION LLC

Practice address

1610 Pace St Unit 600
Longmont, CO 80504-2240

Phone

(812) 320-9318

NPI assigned

Jul 11, 2015

Last updated

Jul 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Neka HafezzadehNPI 1295963320

Title

President

Phone

(812) 320-9318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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.

• Neka Hafezzadeh, O.D.

  • Optometrist
  • Longmont, CO
  • NPI 1295963320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436572800000",
    "number": "1891179669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 PACE ST UNIT 600",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 PACE ST UNIT 600",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805042240",
            "telephone_number": "812-320-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFEZZADEH VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-11",
        "last_updated": "2015-07-11",
        "status": "A",
        "authorized_official_last_name": "HAFEZZADEH",
        "authorized_official_first_name": "NEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-320-9318",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene K Gwin, NP
• H. Noelle Vaughn, Ms, Otr/L LLC
• H&H Optometry, P.C.
• Whitney Reed Haas, D.C.
• Dominica Annabeth Hadley, PA-C
• Neka Hafezzadeh, O.D.
• Shan Daniel Hager, D.C.
• Sarah Haggerty, LPC
• Kathrine Marie Hak, PH.D.
• Kalli Hale, M.S.

• Optometrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; 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.