Active NPI
Fahim M. Kabir, O. D.
- Optometrist
- Folsom, CA
National Provider Identifier
1174665301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13111T
- Practice address
- 2545 E Bidwell St
Suite 160
Folsom, CA 95630-6440 - Phone
- (916) 983-0896
- NPI assigned
- Feb 13, 2007
- Last updated
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13111T | CA | Primary |
Addresses
Primary practice location
2545 E Bidwell St
Suite 160
Folsom, CA 95630-6440
Mailing address
1633 E Monte Vista Ave
Ste 102
Vacaville, CA 95688-3106
Phone (916) 903-6876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13111T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bidwell Optometry | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Vacaville, CA
- NPI 1891196341
-
- Optometrist
- Folsom, CA
- NPI 1063724995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1174665301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 E MONTE VISTA AVE",
"address_2": "STE 102",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956883106",
"telephone_number": "916-903-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 E BIDWELL ST",
"address_2": "SUITE 160",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306440",
"telephone_number": "916-983-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABIR",
"first_name": "FAHIM",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13111T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
- Emmanuel E Jonson, P.A.-C
- Jacob William Jorgensen, M.D.
- Jennifer Joseph
- Lynn Sterling Judd, DDS
- K and M Healthcare
- Syeda M. Kabir, MD
- Joan Kaczmar, L.AC
- Kanwaljit Singh Kahlon, M.D.
- Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #281)
- Kaiser Foundation Hospitals (Kaiser Found Hospital Phrmcy #28B/282)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.