Mathew Bahrami, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA3175 Issued in MD

Practice address

3080 Waldorf Market PL
Waldorf, MD 20603-4872

Phone

(301) 843-9112

Fax

(301) 843-9989

NPI assigned

Dec 21, 2006

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Optometry

Education

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fillmore Eye Clinic IncorporatedGroup PAC ID 7214069293, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbahrami@fec.intellechartdirect.net

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.

• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1083931182
  Medicare reassignment Care Compare group NPD
• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1104295906
  NPD
• Fillmore Eye Clinic Incorporated

  • Ambulatory Surgical Clinic/Center
  • Alamogordo, NM
  • NPI 1487657862
  NPD (past)
• Ky Doctors of Optometry, PLLC

  dba KY Doctors of Optometry

  • Eyewear Supplier
  • Elizabethtown, KY
  • NPI 1427131176

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1235293499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "301-843-9112",
            "fax_number": "301-843-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034872",
            "telephone_number": "301-843-9112",
            "fax_number": "301-843-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Knoxville Center Dr Ste 1290",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379245069",
            "country_code": "US",
            "telephone_number": "865-524-2046",
            "fax_number": "865-524-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Bush Ave",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "88210",
            "country_code": "US",
            "telephone_number": "575-736-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHRAMI",
        "first_name": "MATHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA3175",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1816",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT-2025-0013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943151",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Ayers
• B. Transformed Consulting Inc.
• Isra Baba
• Alanka Babb, LGPC
• Sianoush Badei, DDS
• Khadar Baig, MD
• Bailey, Cross & Davis LLC (Horizons Health & Wellness Center)
• Yameeka Bailey, LCPC
• Christine Baker, PH.D., LCSW-C, LCADC
• Jason Baker

• Optometrist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.