Individual provider Active NPI

Bita Khalifian Sabripour, O.D.

  • Optometrist
  • Plantation, FL
National Provider Identifier
1932228913
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3654 Issued in FL
Practice address
301 NW 84 Avenue
Suite 205
Plantation, FL 33324-3317
Phone
(954) 236-5656
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3654 FL Primary

Addresses

Primary practice location

301 NW 84 Avenue
Suite 205
Plantation, FL 33324-3317

Mailing address

10050 NW 3Rd CT
Plantation, FL 33324-7047
Phone (954) 236-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120926000071 FL Practitioner - Optometry 3678770112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 NW 84TH Ave
Suite 205
Plantation, FL 33324-1807
Phone (954) 236-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3654FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bita Eye Care Inc. Optometrist CurrentSince Jan 15, 2012 Accepting new patients

Locations

301 NW 84th Ave
Ste 205
Plantation, FL 33324
Phone (954) 236-5656

817 S University Dr
Ste 100A
Plantation, FL 33324
Phone (954) 474-2500

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1932228913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 NW 3RD CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247047",
            "telephone_number": "954-236-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 84 AVENUE",
            "address_2": "SUITE 205",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243317",
            "telephone_number": "954-236-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABRIPOUR",
        "first_name": "BITA",
        "middle_name": "KHALIFIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.