Individual provider Active NPI

Ayesha Mecci Rahman, O.D.

  • Optometrist
  • Norfolk, VA
National Provider Identifier
1659372993
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601009768 Issued in VA
Practice address
885 Kempsville Rd Ste 101
Norfolk, VA 23502-3800
Phone
(757) 461-1444
Fax
(757) 461-8238
NPI assigned
Aug 9, 2005
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601009768 VA Primary

Addresses

Primary practice location

885 Kempsville Rd Ste 101
Norfolk, VA 23502-3800

Mailing address

885 Kempsville Rd
Suite 101
Norfolk, VA 23502-3800
Phone (757) 461-1444

Other identifiers 12

IdentifierTypeStateIssuer
480028785OtherVARAILROAD MEDICARE PROV #
541299712OtherVAVA HEALTH NETWORK PROV #
541299712OtherVASUPERIOR VISION PROV #
600214864OtherVACIGNA PROV #
11529OtherVACOORDINATED VISION PROV #
215754OtherVAHEALTHKEEPERS PROV #
2200149OtherVAUNTIED HEALTH PROV #
27334OtherVAMD IPA PROV #
215754OtherVAANTHEM PROV #
22440OtherVAOPTIMA PROV #
9235779MedicaidVA
7556210OtherVAAETNA PROV #

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
I20100422000977 VA Practitioner - Optometry 6204963291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ophthalmology Associates PCGroup PAC ID 1658344908, 6 clinicians

Practice addresses (Care Compare)

885 Kempsville Rd
Suite 101
Norfolk, VA 23502-3800
Phone (757) 461-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601009768VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ophthalmology Associates, P.C. CurrentSince Jan 1, 2000 Accepting new patients
Virginia Ophthalmology Associates PastSince Jan 1, 2000 Accepting new patients

Locations

885 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 461-1444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1659372993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-1444",
            "fax_number": "757-461-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-461-1444",
            "fax_number": "757-461-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "AYESHA",
        "middle_name": "MECCI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601009768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "480028785",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK PROV #",
            "identifier": "541299712",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION PROV #",
            "identifier": "541299712",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #",
            "identifier": "600214864",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED VISION PROV #",
            "identifier": "11529",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS PROV #",
            "identifier": "215754",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNTIED HEALTH PROV #",
            "identifier": "2200149",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD IPA PROV #",
            "identifier": "27334",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV #",
            "identifier": "215754",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROV #",
            "identifier": "22440",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9235779",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  PROV #",
            "identifier": "7556210",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.