Individual provider Active NPI

Alexander Reza Vakili, OD

  • Optometrist
  • Richmond, VA
National Provider Identifier
1649832569
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002753 Issued in VA
Practice address
7000 Forest Ave
Richmond, VA 23230-1735
Phone
(804) 253-9778
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002753 VA Primary

Addresses

Primary practice location

7000 Forest Ave
Richmond, VA 23230-1735

Mailing address

7000 Forest Ave
Richmond, VA 23230-1735
Phone (804) 253-9778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200514001225 VA Practitioner - Optometry 8224469879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Rainer and Ryan Optometrists PLCGroup PAC ID 4486688355, 5 clinicians
Vision Center PCGroup PAC ID 9931260320, 4 clinicians
James River Eye AssociatesGroup PAC ID 1557510831, 5 clinicians

Practice addresses (Care Compare)

10116 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233-1111
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230-2614
Phone (804) 282-7228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Center PC Optometrist CurrentSince Feb 11, 2020 Accepting new patients
James River Eye Associates Optometrist CurrentSince Feb 11, 2020 Accepting new patients
DRS Rainer & Ryan Optometrists PLC Optometrist CurrentSince Feb 11, 2020 Accepting new patients

Locations

10116 Brook Rd
Glen Allen, VA 23059
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1649832569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 FOREST AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301735",
            "telephone_number": "804-253-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 FOREST AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301735",
            "telephone_number": "804-253-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKILI",
        "first_name": "ALEXANDER",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.