Individual provider Active NPI

Rachel Hammoudeh, O.D.

  • Optometrist
  • Duluth, GA
National Provider Identifier
1114449659
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002250 Issued in AZ
Practice address
2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980
Phone
(678) 892-3778
NPI assigned
Jul 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0133938 VT
Optometrist 152W00000X 10144 TX
Optometrist 152W00000X 007211 OH
Optometrist 152W00000X 0003364 CO
Optometrist 152W00000X 002250 AZ Primary

Addresses

Primary practice location

2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980

Mailing address

2435 Commerce Ave BLDG 2200
Duluth, GA 30096-4980
Phone (678) 892-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20210503001728 VT Practitioner - Optometry 0143573055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10144TXMDChiropractor
002250AZMDOptometrist
0003364COMDOptometrist
007211OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Vermont LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Texas Eye Physicians PA PastSince Jul 12, 2002 Accepting new patients

Locations

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

10 Palmer Rd
Ste 100
Stowe, VT 05672
Phone (802) 253-6322

10 Palmer Rd
Stowe, VT 05672
Phone (802) 253-6322

5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428

Organizations & group practices 5

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": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1114449659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 COMMERCE AVE BLDG 2200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964980",
            "telephone_number": "678-892-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 COMMERCE AVE BLDG 2200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964980",
            "telephone_number": "678-892-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUDEH",
        "first_name": "RACHEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-15",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133938",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10144",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "007211",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003364",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.