Individual provider Active NPI

Shusmita H Rahman, O.D. FAAO

  • Optometrist
  • Austin, TX
National Provider Identifier
1952452278
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5326T Issued in TX
Practice address
9500 S Ih 35 Ste G
Austin, TX 78748-1753
Phone
(619) 549-5593
Fax
(512) 292-9108
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10996 CA
Optometrist 152W00000X 5326T TX Primary

Addresses

Primary practice location

9500 S Ih 35 Ste G
Austin, TX 78748-1753

Mailing address

9500 S Ih 35 Ste G
Austin, TX 78748-1753
Phone (619) 549-5593

Other names 1

  • Shusmita Rahman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5326TTXMDOptometrist
10996CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SPM Optometry Assoc PLLC Optometrist CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952452278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S IH 35 STE G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481753",
            "telephone_number": "619-549-5593",
            "fax_number": "512-292-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 S IH 35 STE G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481753",
            "telephone_number": "619-549-5593",
            "fax_number": "512-292-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SHUSMITA",
        "middle_name": "H",
        "credential": "O.D. FAAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10996",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5326T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUSMITA",
            "last_name": "RAHMAN",
            "credential": "MSTOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.