Individual provider Active NPI

Abid-Alhamid Dahnoun, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1396358271
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2615 Issued in NC
Practice address
7800 Fayetteville Rd.
Raleigh, NC 27603
Phone
(984) 810-5045
Fax
(984) 810-5046
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2615 NC
Low Vision Rehabilitation Optometrist 152WL0500X 2615 NC
Sports Vision Optometrist 152WS0006X 2615 NC
Ophthalmology Physician 207W00000X 2615 NC
Optometrist 152W00000X 2615 NC Primary

Addresses

Primary practice location

7800 Fayetteville Rd.
Raleigh, NC 27603

Mailing address

410 Melody LN
Cary, NC 27513-9101
Phone (919) 455-4551

Other identifiers 1

IdentifierTypeStateIssuer
1396358271MedicaidNC

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
I20210309000715 NC Practitioner - Optometry 2163838681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7800 Fayetteville Rd
Raleigh, NC 27603-5432
Phone (984) 810-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2615NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
See More Eye Care OD, PLLC Optometrist CurrentSince Nov 22, 2021 Accepting new patients
Clark Optometric Center PA Optometrist PastSince Dec 30, 2017 Accepting new patients

Locations

7800 Fayetteville Rd
Raleigh, NC 27603
Phone (984) 810-5030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1396358271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MELODY LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139101",
            "telephone_number": "919-455-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 FAYETTEVILLE RD.",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "984-810-5045",
            "fax_number": "984-810-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHNOUN",
        "first_name": "ABID-ALHAMID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NC",
            "license": "2615",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NC",
            "license": "2615",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NC",
            "license": "2615",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2615",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396358271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.