MATHEW BAHRAMI (OD) – Optometrist, NPI 1235293499

MATHEW BAHRAMI (OD) is a healthcare provider. based in San antonio, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD1816 (TN). The NPI Number for MATHEW BAHRAMI (OD) is 1235293499

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MATHEW BAHRAMI (OD)
NPI
1235293499
Phone
(210) 524-6663
Address
11103 WEST AVE
Enumeration Date
21 December 2006
Last Update Date
4 August 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5754341200
Graduation Year
1997 (29 years ago)
PAC ID
2769448018
Group Practice PAC ID
7214069293
Professional Enrollment ID
I20250903000078
Address ID
NM883106414AL1124XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for MATHEW BAHRAMI (OD)

  • West Avenue, The Bronx, Bronx County, New York, 10462, United States

    SUITE 6

    SAN ANTONIO, TX 782131370

    Phone: (210) 524-6663

    Fax: (210) 524-6587

    Type: Mailing

  • 3001 Knoxville Center Dr Ste 1290

    Knoxville, TN 379245069

    Phone: (865) 524-2046

    Fax: (865) 524-2950

    Type: Location

  • 3001 KNOXVILLE CENTER DR STE 1290

    KNOXVILLE, TN 379245069

    Phone: (865) 524-2046

    Fax: (865) 524-2950

    Type: Location

  • 801 BUSH AVE

    ARTESIA, NM 88210

    Phone: (575) 736-2117

    Type: Location

  • 1124 10TH ST

    MBAHRAMI19@GMAIL.COM

    ALAMOGORDO, NM 88310

    Phone: (575) 434-1200

    Fax: (575) 437-3947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250903000078IOptometryNMTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214069293View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
-AZ
O P H T H A L M O L O G YNM
-NM
O P T O M E T R YNM
O P T O M E T R YNM
O P T O M E T R YNM
O P T O M E T R YNM
O P H T H A L M O L O G YNM
O P T O M E T R YNM

Reviews

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Frequently asked questions

Can I verify MATHEW BAHRAMI (OD) with an NPI only?
You can start verification with NPI 1235293499 for MATHEW BAHRAMI (OD), then check state licensing separately.
Is MATHEW BAHRAMI (OD) listed as active for patients and plans?
The listing shows MATHEW BAHRAMI (OD) as active in the NPI system.
What healthcare role does MATHEW BAHRAMI (OD) hold?
Scheduling teams often label MATHEW BAHRAMI (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does MATHEW BAHRAMI (OD) serve?
MATHEW BAHRAMI (OD)'s listing highlights San Antonio, Texas; more addresses can appear in NPPES.
Why does MATHEW BAHRAMI (OD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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