Vivek Raizada, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

062705100105 Issued in TX

Practice address

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2554

Phone

(409) 833-0444

Fax

(409) 833-9039

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Devision Eye Care, LLC

  • Optometrist
  • Nederland, TX
  • NPI 1669865663
  NPD (past) Authorized official
• Burt a Ginsburg MD PA

  • Specialist
  • Houston, TX
  • NPI 1326319518
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1578564530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072553",
            "telephone_number": "409-833-0444",
            "fax_number": "409-833-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-833-0444",
            "fax_number": "409-833-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIZADA",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "062705100105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176915001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahid I Rafiq, MD
• Mannal Rahman, DO
• Maryam Khalily Rahmani
• Rahul Patri MD PLLC
• Rainbow Dental Care,PLLC
• Raja Ataya M.D.
• Sekhar Raja, MD
• Fatima Rajab, MD
• Rajen Desai MD PA
• Raju Rajendran, P.T

• Ophthalmology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.