Dr. Michael E. Raim OD P.a. Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OC0001111 Issued in FL

Legal business name

DR. MICHAEL E. RAIM OD P.A. INC

Practice address

501 Harbor Blvd
Suite D
Destin, FL 32541-2348

Phone

(850) 837-9161

Fax

(850) 837-9162

NPI assigned

Jan 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael E. Raim, O.D.NPI 1205864402

Title

President

Phone

(850) 837-9161

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E Raim, O.D.

  • Corneal and Contact Management Optometrist
  • Destin, FL
  • NPI 1205864402
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1245500677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HARBOR BLVD",
            "address_2": "SUITE D",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412348",
            "telephone_number": "850-837-9161",
            "fax_number": "850-837-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HARBOR BLVD",
            "address_2": "SUITE D",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412348",
            "telephone_number": "850-837-9161",
            "fax_number": "850-837-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL E. RAIM OD P.A. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "RAIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-837-9161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OC0001111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205864402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctors Direct LLC
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• Timothy Deegan Douglass, D.C.
• Jada Downer
• Dr. Rafael O. Mollega , Jr. of Northwest Florida, Inc (Mollega Eye Care & Optique)
• Dr. Rhonda Hendrix, PA
• Andre Drevinskas
• Julia Andreyevna Drevinskas, NP
• Sandra A Dulian, CRNA

• Corneal and Contact Management Optometrist in Destin, FL
• Providers in Destin, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.