Kim Chau Raharja, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002319 Issued in GA

Practice address

1841 Chamblee Tucker Rd Ste 1-4B
Chamblee, GA 30341-2784

Phone

(770) 409-8977

Fax

(404) 521-4776

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Atlanta Eye Associates

  • Optometrist
  • Norcross, GA
  • NPI 1255773347
  Medicare reassignment Authorized official
• Atlanta Eye Associates Group LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1881570174
  NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1720094527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 CHAMBLEE TUCKER RD STE 1-4B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412784",
            "telephone_number": "770-409-8977",
            "fax_number": "404-521-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 CHAMBLEE TUCKER RD STE 1-4B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412784",
            "telephone_number": "770-409-8977",
            "fax_number": "404-521-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHARJA",
        "first_name": "KIM",
        "middle_name": "CHAU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Powell, NP
• Premier Family Clinic
• Publix Super Markets, Inc.
• Kay Starr Rachelson, L.C.S.W.
• Radiant Smiles Dental of Chamblee LLC
• Rainbow Wellness Center Inc
• William A Reagin, DDS
• Adam Keith Rechtman, D.C.
• Denique Reid
• Ryan Lee Reid, PT

• Optometrist in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.