Individual provider Active NPI

Nadia Rahman, O.D

  • Optometrist
  • Eastlake, OH
National Provider Identifier
1447391552
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5994 Issued in OH
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

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004002705 TX Practitioner - Optometry 8820244676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Cristina de la Pena, O.D., P.a.Group PAC ID 1254403769, 4 clinicians

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

LicenseStateTypeSpecialty
046009910ILMDOptometrist
6858TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina de la Pena, O.D., P.a. Optometrist CurrentSince Sep 1, 2023 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

Verify at the official NPI Registry.