Individual provider Active NPI

Niloofar Montazer Rahmati, O.D.

  • Optometrist
  • Salem, NH
National Provider Identifier
1780073767
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0899 Issued in NH
Practice address
346 S Broadway
Salem, NH 03079-4304
Phone
(603) 898-8560
Fax
(603) 870-9271
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0899 NH Primary

Addresses

Primary practice location

346 S Broadway
Salem, NH 03079-4304

Mailing address

346 S Broadway
Salem, NH 03079-4304
Phone (603) 898-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150430001430 MA Practitioner - Optometry 6901125699 Reassigns benefits to 1 organization
I20150520000140 NH Practitioner - Optometry 6901125699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5076MAMDMental Health Counselor
0899NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Feb 1, 2014 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Feb 1, 2014 Accepting new patients

Locations

346 S Broadway
#28
Salem, NH 03079
Phone (603) 898-8560

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1780073767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 S BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794304",
            "telephone_number": "603-898-8560",
            "fax_number": "603-870-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 S BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794304",
            "telephone_number": "603-898-8560",
            "fax_number": "603-870-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZER RAHMATI",
        "first_name": "NILOOFAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.