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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RAMI KHALDIEH OD
NPI 1477236800
Optometrist in Herndon, VA

Active since August 11, 2023PECOS Enrolled
2539 JOHN MILTON DR, HERNDON, VA 20171(703) 239-6633 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, May 7, 2025, Aug 11, 2023 (3 updates tracked since 2023).

About Dr. Rami Khaldieh Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAMI KHALDIEH OD (NPI 1477236800) is an individual optometrist in Herndon, Virginia, licensed in Virginia (0618003251) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477236800
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RAMI KHALDIEHCredential: OD
Location Address2539 JOHN MILTON DRHerndon, VA 20171-2527
Mailing Address2539 John Milton DrHerndon, VA 20171-2527
Phone(703) 239-6633
Sole ProprietorNo
Enumeration DateAugust 11, 2023
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1477236800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0618003251
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2539 JOHN MILTON DR, Herndon, VA 20171
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rami Khaldieh Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20171 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Fairfax County (703) 860-0600
SOLAIRE VISION HERNDON, LLC
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Fairfax County (703) 239-6633
DR. KWON JUNG CHOE O.D.
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Fairfax County (703) 860-0600
HAILEY JUNG OD
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Fairfax County (703) 239-6633
DR. SAMI KHALDIEH OD
Optometrist
2539 JOHN MILTON DR
HERNDON, VA 20171
Fairfax County (703) 239-6633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rami Khaldieh's NPI number?

The NPI number for Rami Khaldieh is 1477236800. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Rami Khaldieh located?

Rami Khaldieh practices at 2539 John Milton Dr, Herndon, VA 20171. The listed phone number is (703) 239-6633.

What is Rami Khaldieh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rami Khaldieh enrolled in Medicare?

Yes. Rami Khaldieh is registered in the Medicare PECOS enrollment system.

What insurance does Rami Khaldieh accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Rami Khaldieh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rami Khaldieh was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.