Individual provider Active NPI

Jeelan Bassam Rahhal

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1356108229
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2795 Issued in NC
Practice address
3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196
Phone
(919) 263-9163
NPI assigned
Mar 6, 2024
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2795 NC Primary

Addresses

Primary practice location

3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196

Mailing address

3308 Kivet Cir
Raleigh, NC 27604-4079
Phone (919) 413-7778

Other practice location 1

215 Lauchwood Dr Ste A
Laurinburg, NC 28352-4647
Phone (910) 276-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240410001462 NC Practitioner - Optometry 7618315615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McPherson Family Eye Care OD PAGroup PAC ID 1355590969, 7 clinicians

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

3150 Rogers Rd
Suite 110
Wake Forest, NC 27587-4196
Phone (919) 263-9163

3501 Oleander Dr
Suite 7
Wilmington, NC 28403-0824
Phone (910) 254-9292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2795NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Family Eye Care OD, PA Optometrist CurrentSince Mar 4, 2024 Accepting new patients

Locations

3150 Rogers Rd
Ste 110
Wake Forest, NC 27587
Phone (919) 263-6163

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.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1356108229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 KIVET CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044079",
            "telephone_number": "919-413-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874196",
            "telephone_number": "919-263-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Lauchwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283524647",
            "country_code": "US",
            "telephone_number": "910-276-1993",
            "fax_number": "901-462-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHHAL",
        "first_name": "JEELAN",
        "middle_name": "BASSAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.