Individual provider Active NPI

Razanne Hazem Taher, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1962980607
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004313A Issued in IN
Practice address
2839 Lafayette Rd
Indianapolis, IN 46222-2147
Phone
(317) 926-0283
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003411 CO
Optometrist 152W00000X 34697 CA
Optometrist 152W00000X 18004313A IN Primary

Addresses

Primary practice location

2839 Lafayette Rd
Indianapolis, IN 46222-2147

Mailing address

14443 Lee Stewart LN
Fishers, IN 46038-6580
Phone (720) 378-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220207001522 IN Practitioner - Optometry 8325378789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

2835 Lafayette Rd
Indianapolis, IN 46222-2147
Phone (317) 926-0283

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003411COMDOptometrist
18004313AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Optical Co., Inc. Optometrist CurrentSince Feb 4, 2022 Accepting new patients
Coco Eye Surgery Consulting, PLLC CurrentSince Sep 3, 2020 Accepting new patients
City Optical Co., Inc. Optometrist Current Accepting new patients
City Optical Co., Inc. Optometrist CurrentSince Feb 4, 2022 Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients
City Optical Co., Inc. Optometrist Past Accepting new patients

Locations

750 Potomac St
Ste 223
Aurora, CO 80011
Phone (303) 340-4600

2835 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

2839 Lafayette Rd
Indianapolis, IN 46222
Phone (317) 924-1300

519 S Memorial Dr
New Castle, IN 47362
Phone (765) 521-3400

Organizations & group practices 9

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1962980607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14443 LEE STEWART LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460386580",
            "telephone_number": "720-378-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222147",
            "telephone_number": "317-926-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "RAZANNE",
        "middle_name": "HAZEM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003411",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34697",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004313A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.