Individual provider Active NPI

Samer N Arafat, OD

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1003256165
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
101730 Issued in IA
Practice address
576 Boyson Rd NE Ste 104
Cedar Rapids, IA 52402-7363
Phone
(319) 373-3737
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 101730 IA Primary

Addresses

Primary practice location

576 Boyson Rd NE Ste 104
Cedar Rapids, IA 52402-7363

Mailing address

975 Savannah Hwy SPC 10
Charleston, SC 29407-7859
Phone (843) 627-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240213003868 SC Practitioner - Optometry 7719394816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Charleston IncGroup PAC ID 2466781547, 3 clinicians

Practice addresses (Care Compare)

975 Savannah Hwy
Suite 10
Charleston, SC 29407-7859
Phone (843) 627-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2442SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Charleston Inc Optometrist CurrentSince Jan 3, 2024 Accepting new patients
Luxottica of America Inc PastSince Sep 24, 2023 Accepting new patients

Locations

975 Savannah Hwy
#10
Charleston, SC 29407
Phone (843) 627-2020

975 Savannah Hwy
Spc 10
Charleston, SC 29407
Phone (843) 627-2020

470 Town Center Pl
Ste 5
Columbia, SC 29229
Phone (803) 784-2010

2150 Northwoods Blvd
Unit E2
North Charleston, SC 29406
Phone (843) 569-3937

Organizations & group practices 2

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1003256165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SAVANNAH HWY SPC 10",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077859",
            "telephone_number": "843-627-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BOYSON RD NE STE 104",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027363",
            "telephone_number": "319-373-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAFAT",
        "first_name": "SAMER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "101730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.