Active NPI
Rasha Kumar, OPTOMETRIST OD
- Optometrist
- Coolidge, AZ
National Provider Identifier
1285824409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 687
- Practice address
- 1695 North Arizona Boulevard
Coolidge, AZ 85228 - Phone
- (520) 723-8641
- Fax
- (520) 723-8643
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 687 | AZ | Primary |
Addresses
Primary practice location
1695 North Arizona Boulevard
Coolidge, AZ 85228
Mailing address
12148 North 134TH Way
Scottsdale, AZ 85259
Phone (480) 657-0015
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1285824409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12148 NORTH 134TH WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85259",
"telephone_number": "480-657-0015",
"fax_number": "480-657-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 NORTH ARIZONA BOULEVARD",
"city": "COOLIDGE",
"state": "AZ",
"postal_code": "85228",
"telephone_number": "520-723-8641",
"fax_number": "520-723-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "RASHA",
"name_prefix": "Mr.",
"credential": "OPTOMETRIST OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coolidge, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.