NPI 1235293499 · live from the CMS NPI Registry
Mathew Bahrami, OD
Optometrist in Waldorf, MD. National Provider Identifier 1235293499, active.
NPI record
| NPI | 1235293499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3080 Waldorf Market Pl, Waldorf, MD 20603 |
| Practice phone | 301-843-9112 |
| Enumerated | December 21, 2006 |
| Last updated | September 17, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | TA3175 (MD) |
| Optometrist | 152W00000X | OD1816 (TN) |
| Optometrist | 152W00000X | OPT-2025-0013 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.