Raksha Raj

Primary specialty

OptometristTaxonomy code 152W00000X

License

2436 Issued in SC

Practice address

504 S 4TH St
Hartsville, SC 29550-5720

Phone

(864) 654-6706

NPI assigned

Dec 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, SC2 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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Vision of South Carolina LLCGroup PAC ID 1951609155, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.07 of 100Reported as group

Quality

76.49

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: raksha.raj.p1@direct.clemsoneye.nextgenshare.com
• Direct secure messaging: raksha.raj.p2@direct.clemsoneye.nextgenshare.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.

• Mobile Vision of South Carolina, LLC

  • Optometrist
  • Louisville, KY
  • NPI 1659731560

  SC

  Medicare reassignment Care Compare group NPD
• Clemson Eye, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1447383831

  Optometrist

  Medicare reassignment NPD
• Eye Care Vision Optometry P.C.

  • Optometrist
  • Staten Island, NY
  • NPI 1851983654
  Medicare reassignment NPD
• Eyes & Optics Metro LLC

  • Eyewear Supplier
  • New York, NY
  • NPI 1013156645
  Medicare reassignment NPD
• Clemson Eye, PA

  • Optometrist
  • Hartsville, SC
  • NPI 1629686373
  NPD
• Clemson Eye, PA

  • Optometrist
  • Clemson, SC
  • NPI 1790939254
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1912372871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896189",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896189",
            "telephone_number": "864-654-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505720",
            "telephone_number": "864-654-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Cashua Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295012098",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "fax_number": "800-610-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "RAKSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008260-1",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NJ",
            "license": "27OA00663100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04359624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea D Pulling
• Quality Rehabilitation Services LLC
• Elizabeth Bell Quinn
• Tracey Rabon, PHARMD
• Eric Radcliff
• Mike Rast, P.D. FASCP
• Danielle Johnson Reames, MS, CCC-SLP
• Teresa W Redfearn, MS, LPES, NCSP
• Sally Webb Regan, MD
• Leslie Register

• Optometrist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.