Active NPI
Rachel Varghese, OD
- Optometrist
- Dallas, TX
National Provider Identifier
1013588409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10342T
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10342T | TX | MD | Optometrist |
| 10342 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aea Eye Care LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.