FAISAL RASOOLI OD - NPI 1821831454 - Optometrist in Fort Wayne, IN

Q: What is Faisal Rasooli's NPI number?

The NPI number for Faisal Rasooli is 1821831454. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Q: What is Faisal Rasooli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Faisal Rasooli was last updated on August 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Faisal Rasooli Od NPPES

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

FAISAL RASOOLI OD (NPI 1821831454) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18004527A) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2024).

NPPES Registry Identity

NPI1821831454

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameFAISAL RASOOLICredential: OD

Location Address3401 LAKE AVEFort Wayne, IN 46805-5500

Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899

Phone(260) 426-3095

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2024

Enumeration DateJune 12, 2024

Last NPPES UpdateAugust 31, 20252 updates tracked since enumeration

NPPES CertifiedAugust 31, 2025

✔ NPI 1821831454 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 IN · 18004527A

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.

3401 LAKE AVE, Fort Wayne, IN 46805

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Secondary Practice Locations 2

Location 15711 YMCA Park Dr EFort Wayne, IN 46835-3279 · Phone (260) 200-4464

Location 21318 Minnich RdNew Haven, IN 46774-2052 · Phone (260) 749-0407

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Faisal Rasooli Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214473404

PECOS Enrollment IDI20240724001404

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 11

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

DR. GEORGE D TAYLOR OD

Optometrist