Provider / Organization | NPI | Date Certified |
---|---|---|
IMAD RAHMAN | 1598332983 | 2021-06-05 |
Imad Rahman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598332983. Registration indicates Imad Rahman is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers) Access to Ophthalmic Care (Eye & Vision Services Providers, Optometrist) (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
Entity Type | Individual |
Provider Name | Imad Rahman OD |
Practice Office Address | 41 MALL RD BURLINGTON, MA US |
Practice Office Telephone | 7817448000 |
Mailing Address | PROVIDER ENROLLMENT 41 MALL ROAD BURLINGTON, MA 018050001 US |
Business Telephone | 7817448085 |
Address | City / State | Phone / Fax |
---|---|---|
33 W 42nd St | New York, NY 100368005 | 2129384000 |
Code | Practice | License No State |
---|---|---|
152W00000X | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | TUV009385
NY |
152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | OPT5666
MA |