Individual provider Active NPI

Hetal Rana, OD

  • Optometrist
  • Columbia, MD
National Provider Identifier
1497865810
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2038 Issued in MD
Practice address
10801 Hickory Ridge Rd
Ste 200
Columbia, MD 21044-3871
Phone
(410) 997-1800
Fax
(443) 319-5915
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4281 MA
Optometrist 152W00000X 2038 MD Primary
Optometrist 152W00000X 046009681 IL

Addresses

Primary practice location

10801 Hickory Ridge Rd
Ste 200
Columbia, MD 21044-3871

Mailing address

10801 Hickory Ridge Rd
Ste 200
Columbia, MD 21044-3871
Phone (410) 997-1800

Other identifiers 1

IdentifierTypeStateIssuer
046009681MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091105000056 MD Practitioner - Optometry 5890710412 Reassigns benefits to 1 organization
I20160718002385 DC Practitioner - Optometry 5890710412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10801 Hickory Ridge Rd
Suite 200
Columbia, MD 21044-3871
Phone (410) 997-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009681ILMDOptometrist
4281MAMDOptometrist
2038MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Argos Vision Center, LLC Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Clear Vision Eyecare LLC Optometrist CurrentSince Jul 18, 2017 Accepting new patients
Eye Associates Optometrist PastSince Jul 21, 2017 Accepting new patients

Locations

10801 Hickory Ridge Rd
Ste 200
Columbia, MD 21044
Phone (410) 300-7462

15920 Shady Grove Rd
Gaithersburg, MD 20877
Phone (240) 482-9474

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1497865810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443871",
            "telephone_number": "410-997-1800",
            "fax_number": "443-319-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 HICKORY RIDGE RD",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443871",
            "telephone_number": "410-997-1800",
            "fax_number": "443-319-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "HETAL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4281",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "2038",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009681",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.