Dania Motaz Rakouki, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10276 Issued in TX

Practice address

14002 FM 2920 Rd Ste B
Tomball, TX 77377-6419

Phone

(281) 970-3840

Fax

(281) 970-3852

NPI assigned

Jul 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1265005490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 FM 2920 RD STE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776419",
            "telephone_number": "281-970-3840",
            "fax_number": "281-970-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 FM 2920 RD STE B",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776419",
            "telephone_number": "281-970-3840",
            "fax_number": "281-970-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17814 Spring Cypress Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774296290",
            "country_code": "US",
            "telephone_number": "281-970-3840 x2",
            "fax_number": "281-970-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKOUKI",
        "first_name": "DANIA",
        "middle_name": "MOTAZ",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Tomball, TX
• Providers in Tomball, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.