Individual provider Active NPI

Rachel Gohari

  • Optometrist
  • Bronx, NY
National Provider Identifier
1609559418
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009813 Issued in NY
Practice address
2483 Grand Concourse
Bronx, NY 10468-5443
Phone
(718) 933-0187
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009813 NY Primary

Addresses

Primary practice location

2483 Grand Concourse
Bronx, NY 10468-5443

Mailing address

2483 Grand Concourse
Bronx, NY 10468-5443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230918003638 NY Practitioner - Optometry 7517321953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Optics CorpGroup PAC ID 6204070980, 2 clinicians

Practice addresses (Care Compare)

2483 Grand Concourse
Bronx, NY 10468-5443
Phone (718) 933-0187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009813NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Optics Corp Optometrist CurrentSince Aug 6, 2023 Accepting new patients

Locations

2483 Grand Concourse
Bronx, NY 10468
Phone (718) 933-0187

1911 Richmond Ave
Staten Island, NY 10314
Phone (718) 851-3300

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1609559418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685443",
            "telephone_number": "718-933-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHARI",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.