DR. MAURICE EBRAHIM ZADEH (O.D.) – Optometrist, NPI 1780677476

DR. MAURICE EBRAHIM ZADEH (O.D.) is a healthcare provider. based in Roswell, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. GA001234 (GA). The NPI Number for DR. MAURICE EBRAHIM ZADEH (O.D.) is 1780677476

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAURICE EBRAHIM ZADEH (O.D.)
NPI
1780677476
Phone
(770) 992-6789
Address
910 HOLCOMB BRIDGE RD
Enumeration Date
26 August 2005
Last Update Date
4 November 2013

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7709926789
Graduation Year
1990 (36 years ago)
PAC ID
7810935715
Professional Enrollment ID
I20050421000209
Address ID
GA300761981RO910XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. MAURICE EBRAHIM ZADEH (O.D.)

  • 910, Holcomb Bridge Road, Roswell, Fulton, Georgia, 30076, United States

    STE 100

    ROSWELL, GA 300761975

    Phone: (770) 992-6789

    Fax: (770) 664-6789

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,707.

Total Amount is formed as General ($1,707) + Research ($0) + Ownership ($0) = $1,707.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($487).

Total Amount

$1,707

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,707

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050421000209IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system9177$0
92250Photography of the retina6865$0
92012Established patient problem focused exam of visual system3623$0
92285Photography of content of eyes2818$0
92004New patient complete exam of visual system2121$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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Reviews

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Frequently asked questions

What is the registry number for DR. MAURICE EBRAHIM ZADEH (O.D.)?
The registry entry for DR. MAURICE EBRAHIM ZADEH (O.D.) shows NPI 1780677476.
Is DR. MAURICE EBRAHIM ZADEH (O.D.)'s NPI status active today?
Active status means DR. MAURICE EBRAHIM ZADEH (O.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. MAURICE EBRAHIM ZADEH (O.D.)'s specialty?
The extract shows Optometrist for DR. MAURICE EBRAHIM ZADEH (O.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MAURICE EBRAHIM ZADEH (O.D.)?
The directory associates DR. MAURICE EBRAHIM ZADEH (O.D.) with Roswell, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains DR. MAURICE EBRAHIM ZADEH (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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