Individual provider Active NPI

Raha Ida Fahimi, O.D.

  • Optometrist
  • Bethesda, MD
National Provider Identifier
1659708295
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2386 Issued in MD
Practice address
6410 Rockledge Dr Ste 104
Bethesda, MD 20817-7819
Phone
(301) 897-8484
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34405 CA
Optometrist 152W00000X TA2386 MD Primary
Optometrist 152W00000X 27OA00650700 NJ

Addresses

Primary practice location

6410 Rockledge Dr Ste 104
Bethesda, MD 20817-7819

Mailing address

6410 Rockledge Dr Ste 104
Bethesda, MD 20817-7819
Phone (301) 897-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230316000199 DC Practitioner - Optometry 4688804370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Saman F Ghahremani MD PC CurrentSince Dec 2, 2022 Accepting new patients
Mark a. Chung, O.D., a Professional Corporation Optometrist Past Accepting new patients

Locations

2045 University Blvd E
Ste 100
Hyattsville, MD 20783
Phone (240) 847-7371

831 University Blvd E
Ste 11
Silver Spring, MD 20903
Phone (301) 431-1043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1659708295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 104",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177819",
            "telephone_number": "301-897-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR STE 104",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177819",
            "telephone_number": "301-897-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHIMI",
        "first_name": "RAHA",
        "middle_name": "IDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34405",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2386",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00650700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.