DR. NEGAR GHARIB O.D.
NPI 1851456727
Optometrist in Encino, CA

NPI Status: Active since December 22, 2006

Contact Information

16542 VENTURA BLVD STE 115
ENCINO, CA
ZIP 91436
Phone: (818) 399-1564

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  • Individual
  • Female
  • Optometrist
  • PECOS Enrolled

About NEGAR GHARIB

Negar Gharib is a provider established in Encino, California and her medical specialization is Optometrist. The healthcare provider is registered in the NPI registry with number 1851456727 assigned on December 2006. The practitioner's primary taxonomy code is 152W00000X with license number 10934T (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1851456727
Provider Name
DR. NEGAR GHARIB O.D.
Gender
Female
Entity Type
Individual
Location Address
16542 VENTURA BLVD STE 115 ENCINO, CA 91436
Location Phone
(818) 399-1564
Mailing Address
3831 WINFORD DR TARZANA, CA 91356
Mailing Phone
(818) 788-1719
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
12-22-2006
Last Update Date
01-27-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
10934T
License State
CA
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
    • Blue Choice Preferred Gold PPO℠ 204 - Rx Copays - PPO
    • Blue Choice Preferred Gold PPO℠ 707 - PPO
    • Blue Choice Preferred Security PPO℠ 200 - PPO
    • Blue Choice Preferred Silver PPO℠ 203 - PPO
    • Blue Choice Preferred Silver PPO℠ 706 - PPO
  • Blue Cross and Blue Shield of Louisiana

    • Blue Max 100/100 $9450 - PPO
    • Blue Max 70/50 $6700 - PPO
    • Blue Max 90/70 $1500 - PPO
    • Blue Max Copay 50/50 $3300 - PPO
    • Blue Max Copay 50/50 $7500 Standardized Plan - PPO
    • Blue Max Copay 60/40 $5900 Standardized Plan - PPO
    • Blue Max Copay 75/55 $1500 Standardized Plan - PPO
    • Blue Saver 60/40 $6100 - PPO
    • Blue Saver 90/70 $3400 - PPO
  • Blue Cross and Blue Shield of Montana

    • Blue Focus Bronze POS℠ 205 - POS
    • Blue Focus Bronze POS℠ 705 - POS
    • Blue Focus Bronze POS℠ 708 - POS
    • Blue Focus Gold POS℠ 207 - POS
    • Blue Focus Gold POS℠ 707 - POS
    • Blue Focus Silver POS℠ 206 - POS
    • Blue Focus Silver POS℠ 706 - POS
    • Blue Preferred Bronze PPO℠ 201 - PPO
    • Blue Preferred Bronze PPO℠ 202 - PPO
    • Blue Preferred Bronze PPO℠ 301 - PPO
  • Blue Cross and Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO℠ 801 - PPO
    • Blue Advantage Bronze PPO℠ 202 - PPO
    • Blue Advantage Bronze PPO℠ 203 - PPO
    • Blue Advantage Gold PPO℠ 309 - PPO
    • Blue Advantage Gold PPO℠ 604 - PPO
    • Blue Advantage Gold PPO℠ 803 - PPO
    • Blue Advantage Silver PPO℠ 204 - PPO
    • Blue Advantage Silver PPO℠ 501 - PPO
    • Blue Advantage Silver PPO℠ 605 - PPO
    • Blue Advantage Silver PPO℠ 802 - PPO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
    • Blue Advantage Gold HMO℠ 603 - HMO
    • Blue Advantage Gold HMO℠ 706 - HMO
    • Blue Advantage Plus Bronze℠ 303 - POS
    • Blue Advantage Plus Bronze℠ 305 - POS
    • Blue Advantage Plus Bronze℠ 707 - POS
  • Blue Cross Blue Shield of Wyoming

    • BlueSelect Bronze Balance - PPO
    • BlueSelect Bronze Basic - PPO
    • BlueSelect Bronze Core - PPO
    • BlueSelect Bronze Value - PPO
    • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
    • BlueSelect Gold Balance - PPO
    • BlueSelect Gold Classic - PPO
    • BlueSelect Gold Core - PPO
    • BlueSelect Gold HealthPlus - PPO
    • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10E $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10L $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B11E $25 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15E $0 Virtual Care for Medical & Mental Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Negar Gharib is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 91436 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $147.83
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.87
  • Average New Patient Copayment $36.95
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.14
  • Minimum Established Patient Price $20.89
  • Maximum Established Patient Price $159.82
  • Average Established Patient Copayment $20.28
  • Minimum Established Patient Copayment $5.22
  • Maximum Established Patient Copayment $39.95

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. NEGAR GHARIB O.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1851456727
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28101851274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 8 + 5 + 1 + 2 + 7 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1851456727 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346332541 NIKOO REZVANI O.D.
Individual
Optometrist16542 VENTURA BLVD STE 115
ENCINO, CA 91436
(818) 501-4533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851456727, enumerated in the NPI registry as an "individual" on December 22, 2006

The provider is located at 16542 Ventura Blvd Ste 115 Encino, Ca 91436 and the phone number is (818) 399-1564

The provider's speciality is Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $147.83 with an average copayment of $36.95 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.