Active NPI
Reham Younis, RDO
- Optician
- Anaheim, CA
National Provider Identifier
1609333764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- RDO70859
- Practice address
- 3456 W Orange Ave Ste C
Anaheim, CA 92804-6810 - Phone
- (310) 741-0054
- Fax
- (657) 298-3050
- NPI assigned
- Feb 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | RDO70859 | CA | Primary |
Addresses
Primary practice location
3456 W Orange Ave Ste C
Anaheim, CA 92804-6810
Mailing address
3456 W Orange Ave Ste C
Anaheim, CA 92804-6810
Phone (310) 741-0054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RDO070859 | Other | THE CALIFORNIA STATE BOARD OF OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDO70859 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1609333764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 W ORANGE AVE STE C",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046810",
"telephone_number": "310-741-0054",
"fax_number": "657-298-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 W ORANGE AVE STE C",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046810",
"telephone_number": "310-741-0054",
"fax_number": "657-298-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNIS",
"first_name": "REHAM",
"credential": "RDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "RDO70859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE CALIFORNIA STATE BOARD OF OPTOMETRY",
"identifier": "RDO070859",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.