Active NPI
Raha Ida Fahimi, O.D.
- Optometrist
- Bethesda, MD
National Provider Identifier
1659708295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2386
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saman F Ghahremani MD PC | Current | 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.
-
dba Maryland Eye Care Center
- Ophthalmology Physician
- Hyattsville, MD
- NPI 1245427756
DC
-
dba West Hollywood Optometric Center
- Optometrist
- West Hollywood, CA
- NPI 1861800997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.