Individual provider Active NPI

Niko Olavi Vahamaki, O.D.

  • Optometrist
  • Exmore, VA
National Provider Identifier
1013260066
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14551 Issued in CA
Practice address
3298 Main St
Exmore, VA 23350
Phone
(757) 442-5079
Fax
(757) 442-4685
NPI assigned
Oct 16, 2012
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14551 CA Primary

Addresses

Primary practice location

3298 Main St
Exmore, VA 23350

Mailing address

PO Box 561
Exmore, VA 23350-0561
Phone (757) 442-5079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220209000123 VA Practitioner - Optometry 4880087139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SdecGroup PAC ID 2264830645, 2 clinicians

Practice addresses (Care Compare)

3298 Main St
Exmore, VA 23350-4707
Phone (757) 481-4400

Merit-based Incentive Payment System (MIPS)

Final score
99.03 of 100Reported as group
Quality
97.57
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14551CAMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: nvahamaki@ssec.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1013260066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "233500561",
            "telephone_number": "757-442-5079",
            "fax_number": "757-442-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 MAIN ST",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "23350",
            "telephone_number": "757-442-5079",
            "fax_number": "757-442-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHAMAKI",
        "first_name": "NIKO",
        "middle_name": "OLAVI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exmore, VA

Sources for this page

Verify at the official NPI Registry.