Individual provider Active NPI

Naheed Kassam, O.D.

  • Optometrist
  • Durham, NC
National Provider Identifier
1356382469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1665 Issued in NC
Practice address
6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286
Phone
(919) 484-9696
Fax
(919) 484-9947
NPI assigned
Jun 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1665 NC Primary

Addresses

Primary practice location

6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286

Mailing address

6910 Fayetteville Road
Suite 296
Durham, NC 27713-8286
Phone (919) 484-9696

Other identifiers 2

IdentifierTypeStateIssuer
89093RHMedicaidNC
093RHOtherNCBLUE CROSS BLUE SHIELD

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
I20040702000617 NC Practitioner - Optometry 0345227708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Center Doctors of Optometry PAGroup PAC ID 6901883362, 12 clinicians

Practice addresses (Care Compare)

302 Cross Creek Mall
Fayetteville, NC 28303-7242
Phone (910) 867-4466

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center, Doctors of Optometry, P.a. Optometrist CurrentSince Apr 14, 2000 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

302 Cross CRK Mall
NC 28303

1107 Walnut St
Ste 100
Cary, NC 27511
Phone (919) 460-0155

6910 Fayetteville Rd
Ste 296
Durham, NC 27713
Phone (919) 361-9488

103 Cross Creek Mall
Ste 296
Fayetteville, NC 28303

302 Cross CRK Mall
Fayetteville, NC 28303
Phone (910) 867-4466

3500 Oleander Dr
Ste R55
Wilmington, NC 28403

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356382469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 FAYETTEVILLE ROAD",
            "address_2": "SUITE 296",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138286",
            "telephone_number": "919-484-9696",
            "fax_number": "919-484-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 FAYETTEVILLE ROAD",
            "address_2": "SUITE 296",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138286",
            "telephone_number": "919-484-9696",
            "fax_number": "919-484-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAM",
        "first_name": "NAHEED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093RH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "093RH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.