Vaishnavi Raghuram

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 5131 Issued in FL

Practice address

10224 E Adamo Dr
Tampa, FL 33619-2663

Phone

(813) 643-5333

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vaishnavi.raghuram@70976835354628.direct.elationemr.com

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.

• Blue Wave Eye Doctors Professional Limited Liability Company

  • Optometrist
  • Everett, WA
  • NPI 1053060475
  Medicare reassignment NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  • Eyewear Supplier
  • Olympia, WA
  • NPI 1902608755
  NPD
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Tampa, FL
  • NPI 1811043698
  NPD (past)

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1851769665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N FRANKLIN ST",
            "address_2": "APT 1515",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023859",
            "telephone_number": "617-510-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 E ADAMO DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336192663",
            "telephone_number": "813-643-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHURAM",
        "first_name": "VAISHNAVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siamak Rafieian, DDS
• Pierre Rafla
• Rag Medical Clinic LLC
• Diane Raggard Wright
• Raghavendra R Vijayanagar MD PA
• Trelvis L Ragin Sallet, M.D.
• Avram Randall Polk Rago
• Lenisa Ragoodial, BCBA
• Gaiatri Niesha Ragoonanan-Kallimutoo, B.S.
• Farzaneh Rahimi, D.D.S

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.

Verify at the official NPI Registry.