Individual provider Active NPI

Raza Sikandar, JD, OD

  • Vision Therapy Optometrist
  • Silver Spring, MD
National Provider Identifier
1437984101
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
19464 Issued in MD
Practice address
13830 Outlet Dr
Silver Spring, MD 20904-4970
Phone
(301) 890-9777
NPI assigned
Sep 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 19464 MD Primary

Addresses

Primary practice location

13830 Outlet Dr
Silver Spring, MD 20904-4970

Mailing address

8909 Orbit LN
Lanham, MD 20706-3457
Phone (202) 940-0067

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
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
19464MDMDVision Therapy Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1437984101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 ORBIT LN",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063457",
            "telephone_number": "202-940-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 OUTLET DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044970",
            "telephone_number": "301-890-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKANDAR",
        "first_name": "RAZA",
        "name_prefix": "Dr.",
        "credential": "JD, OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "19464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.