DR. KIM CHAU RAHARJA (O.D.) – Optometrist, NPI 1720094527
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
Provider Addresses for DR. KIM CHAU RAHARJA (O.D.)
4717, Cambridge Trace, Village North, Dunwoody, DeKalb County, Georgia, 30338, United States
DUNWOODY, GA 303385252
Phone: (678) 656-6305
Type: Mailing
1841 CHAMBLEE TUCKER RD STE 1-4B
CHAMBLEE, GA 303412784
Phone: (770) 409-8977
Fax: (404) 521-4776
Type: Location
Walmart Supercenter, 1801, Howell Mill Road Northwest, Atlantic Station, Atlanta, Fulton County, Georgia, 30318, United States
SUITE 100; WALMART VISION CENTER 3775
ATLANTA, GA 303180911
Phone: (678) 656-6305
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $869.
Total Amount is formed as General ($869) + Research ($0) + Ownership ($0) = $869.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($205).
Total Amount
$869
General + Research + Ownership
Payments
12
Total payment records
General Amount
$869
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $205 |
| CooperVision Inc. | $200 |
| Sight Sciences, Inc. | $171 |
| Alcon Vision LLC | $139 |
| Optos, Inc. | $71 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260213003425 | I | Optometry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30338)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.