Rebecca C Fox, OD
Individual provider Active NPI Optometrist · Wauseon, OH
NPI 1023636974 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1023636974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T6744 (OH)
- Practice address
- 474 Airport Hwy
Wauseon, OH 43567-9791 - Phone
- (419) 337-6371
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wauseon Eye Care LLC
Practice addresses (Care Compare)
1432 N Shoop Ave
Wauseon, OH 43567-1825
Phone (419) 337-6371
474 Airport Hwy
Wauseon, OH 43567-9791
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200819003798 | OH | Practitioner - Optometry | 3274959358 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6744 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wauseon Eye Care, LLC | Optometrist | Current |
Accepting new patients |
Locations
474 Airport Hwy
Wauseon, OH 43567
Phone (419) 337-6371
1432 N Shoop Ave
Wauseon, OH 43567
Phone (419) 337-6371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T6744 | OH | Yes |
Addresses
Primary practice location
474 Airport Hwy
Wauseon, OH 43567-9791
Mailing address
474 Airport Hwy
Wauseon, OH 43567-9791
Phone (419) 337-6371
Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.