SOROUSH BAHNAMIRI AZADI (O.D.) – Corneal and Contact Management Optometrist, NPI 1003825621

SOROUSH BAHNAMIRI AZADI (O.D.) is a healthcare provider. based in Austin, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 6642TG (TX). The NPI Number for SOROUSH BAHNAMIRI AZADI (O.D.) is 1003825621

Main info

Male
Sole Proprietor
22 Years Of Experience
Name
SOROUSH BAHNAMIRI AZADI (O.D.)
NPI
1003825621
Phone
(512) 916-4600
Address
4211 S LAMAR BLVD
Enumeration Date
5 August 2006
Last Update Date
12 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
5129164600
Graduation Year
2004 (22 years ago)
PAC ID
6507814860
Group Practice PAC ID
1052576436
Professional Enrollment ID
I20050104000612
Address ID
TX787047978AU4211XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,129 OPTOMETRY in TX

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Provider Addresses for SOROUSH BAHNAMIRI AZADI (O.D.)

  • Austin, TX - S Lamar Blvd Tesla Supercharger, 4211, South Lamar Boulevard, Brodie Oaks, Austin, Travis County, Texas, 78704, United States

    STE E-3

    AUSTIN, TX 787047996

    Phone: (512) 916-4600

    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 8 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($38).

Total Amount

$175

General + Research + Ownership

Payments

8

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2005-01-04

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
I20050104000612IOptometryTXTBD

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
92250Photography of the retina1413$0
92014Established patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 78704)

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Reviews

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Frequently asked questions

What is SOROUSH BAHNAMIRI AZADI (O.D.)'s NPI number?
SOROUSH BAHNAMIRI AZADI (O.D.)'s NPI is 1003825621 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to SOROUSH BAHNAMIRI AZADI (O.D.)?
You should see SOROUSH BAHNAMIRI AZADI (O.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to SOROUSH BAHNAMIRI AZADI (O.D.)?
SOROUSH BAHNAMIRI AZADI (O.D.)'s specialty line reads Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Where in Texas is SOROUSH BAHNAMIRI AZADI (O.D.) registered?
Use Austin, Texas as the headline location for SOROUSH BAHNAMIRI AZADI (O.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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