Active NPI
Rachel Kahan, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1043279573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005842-1
- Practice address
- 934 E 18TH St
Brooklyn, NY 11230-3102 - Phone
- (718) 758-1903
- Fax
- (718) 758-1903
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | VUT005842-1 | NY | Primary |
Addresses
Primary practice location
934 E 18TH St
Brooklyn, NY 11230-3102
Mailing address
934 E 18TH St
Brooklyn, NY 11230-3102
Phone (718) 758-1903
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40934 | Other | NY | DAVISVISION |
| 0120026701 | Other | NY | AMERICHOICE |
| 02144067 | Medicaid | NY | |
| 215800101 | Other | NY | HEALTHPLUS |
| VUT005842 | Other | NY | HIP HEALTH PLAN |
| P128136 | Other | NY | OXFORD |
Other names 1
- Dr. Rachel Eidlisz-Kahan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110602000030 | NY | Practitioner - Optometry | 6901949700 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
934 E 18TH St
Brooklyn, NY 11230-3102
Phone (718) 758-1903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005842-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1043279573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 E 18TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303102",
"telephone_number": "718-758-1903",
"fax_number": "718-758-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 E 18TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112303102",
"telephone_number": "718-758-1903",
"fax_number": "718-758-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHAN",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT005842-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVISVISION",
"identifier": "40934",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0120026701",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02144067",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "215800101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP HEALTH PLAN",
"identifier": "VUT005842",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P128136",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "EIDLISZ-KAHAN",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.