Individual provider Active NPI

Rooda Ahmed, O.D.

  • Optometrist
  • Wheaton, IL
National Provider Identifier
1841576253
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010514 Issued in IL
Practice address
214 W Front St
Wheaton, IL 60187-5111
Phone
(630) 668-4144
NPI assigned
Oct 30, 2011
Last updated
Oct 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010514 IL Primary

Addresses

Primary practice location

214 W Front St
Wheaton, IL 60187-5111

Mailing address

214 W Front St
Wheaton, IL 60187-5111
Phone (630) 668-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240322002069 WA Practitioner - Optometry 8628242161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dinh Louie Optometry PLLC Optometrist CurrentSince Feb 7, 2024 Accepting new patients
Grishma P. Patel, O.D. & Associates, P.C. Optometrist PastSince Feb 2, 2015 Accepting new patients

Locations

10990 Harbor Hill Dr
Gig Harbor, WA 98332
Phone (253) 853-8613

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": "1319932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319932800000",
    "number": "1841576253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W FRONT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875111",
            "telephone_number": "630-668-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W FRONT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875111",
            "telephone_number": "630-668-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ROODA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-30",
        "last_updated": "2011-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.