Amir H Hariri

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

0101266811 Issued in VA

Practice address

9702 Stanton Dr
Fairfax, VA 22031-3555

Phone

(818) 651-1535

Fax

(818) 214-8757

NPI assigned

May 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Virginia Retina Center LLC

  • Ophthalmology Physician
  • Warrenton, VA
  • NPI 1093869976
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1902462047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11218 LA MAIDA ST APT 201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014595",
            "telephone_number": "818-651-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STANTON DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313555",
            "telephone_number": "818-651-1535",
            "fax_number": "818-214-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIRI",
        "first_name": "AMIR",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "301299",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101266811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Hardy, M.D.
• Sarah Elizabeth Hardy, PSY.D.
• Stacey Hardy, PH.D., J.D., L.C.S.W
• Zaria Hardy
• Kathryn Wilson Hare, MD
• Fatima Haris
• Matthew Shea Harlan, MD
• Christine Harley, SLP
• Jessica Harley, FNP-C
• Priya Bansal Harlowe, PHD

• Retina Specialist (Ophthalmology) Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Retina Specialist (Ophthalmology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.