Organization Active NPI

Hzra Optometry, LLC

Doing business as Eyedra Vision

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1891687216
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HZRA OPTOMETRY, LLC
Doing business as
Eyedra Vision
Practice address
5711 YMCA Park Dr E
Fort Wayne, IN 46835-3279
Phone
(224) 999-3129
NPI assigned
Jul 18, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Faisal Rasooli, O.D.NPI 1821831454
Title
Member
Phone
(224) 999-3129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5711 YMCA Park Dr E
Fort Wayne, IN 46835-3279

Mailing address

5711 YMCA Park Dr E
Fort Wayne, IN 46835-3279
Phone (260) 200-4464

Other names 1

  • Eyedra Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250923000748 IN Part B Supplier - Clinic/Group Practice 9032614094 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1891687216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 YMCA PARK DR E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353279",
            "telephone_number": "260-200-4464",
            "fax_number": "260-374-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 YMCA PARK DR E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353279",
            "telephone_number": "224-999-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HZRA OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "RASOOLI",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "224-999-3129",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedra Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.