Individual provider Active NPI

Rashi Mathur, OD

  • Optometrist
  • Matthews, NC
National Provider Identifier
1104602101
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2760 Issued in NC
Practice address
9623 E Independence Blvd Ste P
Matthews, NC 28105-4669
Phone
(704) 321-7150
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2760 NC Primary

Addresses

Primary practice location

9623 E Independence Blvd Ste P
Matthews, NC 28105-4669

Mailing address

9623 E Independence Blvd Ste P
Matthews, NC 28105-4669
Phone (704) 321-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231017000116 NC Practitioner - Optometry 9234584848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Sep 18, 2023 Accepting new patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Sep 18, 2023 Accepting new patients

Locations

3700 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 852-6664

9623 E Independence Blvd
Ste P
Matthews, NC 28105
Phone (704) 321-7150

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, 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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1104602101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 E INDEPENDENCE BLVD STE P",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054669",
            "telephone_number": "704-321-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 E INDEPENDENCE BLVD STE P",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054669",
            "telephone_number": "704-321-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "RASHI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.