Individual provider Active NPI

Rachel Varghese, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1013588409
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10342T Issued in TX
Practice address
8687 N Central Expy Ste 2200
Dallas, TX 75225-4570
Phone
(000) 000-0000
NPI assigned
Jul 7, 2021
Last updated
Mar 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10342T TX Primary

Addresses

Primary practice location

8687 N Central Expy Ste 2200
Dallas, TX 75225-4570

Mailing address

8687 N Central Expy Ste 2200
Dallas, TX 75225-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922002252 IL Practitioner - Optometry 3870996101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 S State St
Unit 2808
Chicago, IL 60605-2242

4814 N Clark St
Suite B
Chicago, IL 60640-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10342TTXMDOptometrist
10342TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aea Eye Care LLC CurrentSince Sep 10, 2025 Accepting new patients

Locations

4814 N Clark St
Ste B
Chicago, IL 60640
Phone (773) 897-0800

Networks

  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1013588409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 N CENTRAL EXPY STE 2200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 N CENTRAL EXPY STE 2200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254570",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10342T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.