Active NPI
Nadia Rahman, O.D
- Optometrist
- Eastlake, OH
National Provider Identifier
1447391552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5994
- Practice address
- 33752 Vine St
Eastlake, OH 44095-5114 - Phone
- (440) 942-9315
- Fax
- (440) 942-9374
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046009910 | IL | |
| Optometrist | 152W00000X | 5994 | OH | Primary |
| Optometrist | 152W00000X | 6858 | TX |
Addresses
Primary practice location
33752 Vine St
Eastlake, OH 44095-5114
Mailing address
6592 Som CT
Mayfield Village, OH 44143-1599
Phone (832) 641-2491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
14330 Vintage Preserve Pkwy
Suite 1000
Houston, TX 77070-3538
Phone (281) 370-3030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009910 | IL | MD | Optometrist |
| 6858 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cristina de la Pena, O.D., P.a. | Optometrist | Current | Accepting new patients |
Locations
14330 Vintage Preserve Pkwy
Ste 1000
Houston, TX 77070
Phone (281) 370-3030
14330 Vintage Preserve Pkwy
Houston, TX 77070
Organizations & group practices 1
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": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1447391552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6592 SOM CT",
"city": "MAYFIELD VILLAGE",
"state": "OH",
"postal_code": "441431599",
"telephone_number": "832-641-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33752 VINE ST",
"city": "EASTLAKE",
"state": "OH",
"postal_code": "440955114",
"telephone_number": "440-942-9315",
"fax_number": "440-942-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "NADIA",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009910",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5994",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.