Individual provider Active NPI

Azim Hafeez Raja

  • Optometrist
  • Chevy Chase, MD
National Provider Identifier
1124654710
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2743 Issued in MD
Practice address
4465 Willard Ave
Chevy Chase, MD 20815-3605
Phone
(301) 951-3373
NPI assigned
Mar 16, 2020
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2743 MD Primary

Addresses

Primary practice location

4465 Willard Ave
Chevy Chase, MD 20815-3605

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200623000254 DC Practitioner - Optometry 3577985431 Reassigns benefits to 6 organizations
I20230110000051 MD Practitioner - Optometry 3577985431 Reassigns benefits to 2 organizations
I20230714002700 VA Practitioner - Optometry 3577985431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360Care Optometry of Virginia LLCGroup PAC ID 7214429281, 4 clinicians
Sightrite Medical MD LLCGroup PAC ID 8325392004, 6 clinicians

Practice addresses (Care Compare)

100 Shockoe Slip
FL 2
Richmond, VA 23219-4100
Phone (502) 813-4415

1300 Windlass Dr
Middle River, MD 21220-4126
Phone (212) 764-0008

3800 Lottsford Vista Rd
Bowie, MD 20721-4018
Phone 50224424205415

7 Saint Paul St
Suite 820
Baltimore, MD 21202-1681
Phone (248) 528-2116

Merit-based Incentive Payment System (MIPS)

Final score
95.72 of 100Reported as group
Quality
74.04
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2743MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jun 29, 2020 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Jun 29, 2020 Accepting new patients
360Care Optometry of Virginia LLC Optometrist CurrentSince Jul 23, 2025 Accepting new patients
Sightrite Medical MD LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Sightrite Medical VA PLLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Sightrite Medical DC PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jun 29, 2020 Accepting new patients

Locations

2425 25th St SE
Washington, DC 20020
Phone (202) 678-0013

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

4465 Willard Ave
Chevy Chase, MD 20815
Phone (301) 951-3373

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

5331 Baltimore Ave
Ste 103
Hyattsville, MD 20781
Phone (240) 391-8989

18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600

7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111

10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439

8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232

600 Largo Rd
Uppr Marlboro, MD 20774
Phone (301) 350-5555

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

100 Shockoe Slip
Fl 2
Richmond, VA 23219
Phone (888) 364-2334

1111 E Main St
Richmond, VA 23219
Phone (804) 648-0900

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1124654710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 WILLARD AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153605",
            "telephone_number": "301-951-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "AZIM",
        "middle_name": "HAFEEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.