Malika Remie Rajendra, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002722 Issued in GA

Practice address

1012 Ga Highway 96 Ste 300
Warner Robins, GA 31088-2506

Phone

(478) 287-6600

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Family Eyecare LLCGroup PAC ID 6103114103, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Georgia Family Eyecare LLC

  • Optometrist
  • Kathleen, GA
  • NPI 1922451913
  Medicare reassignment Care Compare group
• 20-20 Optical Center LLC

  • Optometrist
  • Warner Robins, GA
  • NPI 1144578642
  Medicare reassignment NPD
• Navid Reza Khoshooee OD LLC

  • Optometrist
  • Warner Robins, GA
  • NPI 1285015784
  Medicare reassignment NPD
• Georgia Family Eyecare LLC

  • Optometrist
  • Warner Robins, GA
  • NPI 1043763899
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1497005359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HWY 61",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 GA HIGHWAY 96 STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882506",
            "telephone_number": "478-287-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 hwy 61",
            "address_purpose": "LOCATION",
            "city": "Villa rica",
            "state": "GA",
            "postal_code": "30180",
            "country_code": "US",
            "telephone_number": "770-459-8733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 Russell Pkwy",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310881816",
            "country_code": "US",
            "telephone_number": "478-328-0900",
            "fax_number": "478-328-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJENDRA",
        "first_name": "MALIKA",
        "middle_name": "REMIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanesha Quiller
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• R. Jason Kent Physical Therapy, LLC
• Andrew P Rader
• Grandhige V. Raghu, MD
• Shalimar Ramos-Burgos, MA, S/T
• Johnny Ramos, CNIM
• Atif Iqbal Rana, MD
• Adrienne Randolph
• Lakeitha Michelle Randolph, C.N.A

• Optometrist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.