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HAAJRA AHMED OD
NPI 1972164010
Optometrist in Manchester, CT

Active since June 27, 2019PECOS Enrolled
194 BUCKLAND HILLS DR, MANCHESTER, CT 06042(860) 612-8681 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Haajra Ahmed Od NPPES

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

HAAJRA AHMED OD (NPI 1972164010) is an individual optometrist in Manchester, Connecticut, licensed in Connecticut (3106) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972164010
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHAAJRA AHMEDCredential: OD
Location Address194 BUCKLAND HILLS DRManchester, CT 06042-8705
Mailing AddressPo Box 146Windsor, CT 06095-0146
Phone(860) 612-8681
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
✔ NPI 1972164010 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 CT · 3106
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.
194 BUCKLAND HILLS DR, Manchester, CT 06042
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1759717820
PECOS Enrollment IDI20260106002319
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Haajra Ahmed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prudhomme Vision LLC
Same address
Optometrist
194 BUCKLAND HILLS DR, SUITE 1106
Manchester, CT 06042
  • Reassigned Medicare billing, Connecticut enrollment
  • 7 clinicians in this Medicare group
NPI 1649504432 (860) 233-2668
Friendly Eyes Optometry LLC
1,155 mi
Clinic/Center
2001 N FEDERAL HWY UNIT 120
Pompano Beach, FL 33062
  • Reassigned Medicare billing, Florida enrollment
  • 38 clinicians in this Medicare group
NPI 1811708977 (513) 222-8136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06042 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 8

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

SPH3 ENTERPRISE LLC
Dentist (Pediatric Dentistry)
194 BUCKLAND HILLS DR, SUITE 1076
MANCHESTER, CT 06042
Capitol Planning Region (860) 644-0099
DR. REGAN MARQUIS PRUDHOMME OD
Optometrist
194 BUCKLAND HILLS DR, SUITE 1106
MANCHESTER, CT 06042
Capitol Planning Region (860) 644-3364
PRUDHOMME VISION LLC
Optometrist
194 BUCKLAND HILLS DR, SUITE 1106
MANCHESTER, CT 06042
Capitol Planning Region (860) 233-2668
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
194 BUCKLAND HILLS DR
MANCHESTER, CT 06042
Capitol Planning Region (860) 644-5551
BYEONGJIK KIM
Student in an Organized Health Care Education/Training Program
194 BUCKLAND HILLS DR
MANCHESTER, CT 06042
Capitol Planning Region (860) 644-0099
TARYN DENISE GONTHIER OD
Optometrist
194 BUCKLAND HILLS DR
MANCHESTER, CT 06042
Capitol Planning Region (860) 644-3364
SPH3 ENTERPRISE, LLC
Dentist (General Practice)
194 BUCKLAND HILLS DR
MANCHESTER, CT 06042
Capitol Planning Region (860) 342-4141
DR. KYUNG SEOK KO D.D.S.
Dentist (General Practice)
194 BUCKLAND HILLS DR
MANCHESTER, CT 06042
Capitol Planning Region (860) 644-0099

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 Haajra Ahmed's NPI number?

The NPI number for Haajra Ahmed is 1972164010. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Haajra Ahmed located?

Haajra Ahmed practices at 194 Buckland Hills Dr, Manchester, CT 06042. The listed phone number is (860) 612-8681.

What is Haajra Ahmed's specialty?

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

Is Haajra Ahmed enrolled in Medicare?

Yes. Haajra Ahmed is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Haajra Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haajra Ahmed reassigns Medicare benefits to 2 organizations: Prudhomme Vision LLC (Manchester, CT) and Friendly Eyes Optometry LLC (Pompano Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haajra Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haajra Ahmed accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Haajra Ahmed 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 Haajra Ahmed was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.