Physician Compare National (NPI:1689079451)

HEALTHCARE PROVIDER: NAVID KHOSHOOEE O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689079451
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426375114
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150317001620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHOSHOOEE
	Individual professional last name
Provider First Name	NAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1112 RUSSELL PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	WARNER ROBINS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	310881819
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M