Rachel Dickert, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2212 Issued in AZ

Practice address

6815 N 19TH Ave
Phoenix, AZ 85015-1134

Phone

(602) 242-5293

NPI assigned

Aug 26, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Vision Care Arizona PLLC

  dba Pearle Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment NPD
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  Medicare reassignment NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053838409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-835-4472",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151134",
            "telephone_number": "602-242-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 W Cactus Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853042241",
            "country_code": "US",
            "telephone_number": "602-547-9124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERT",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Mae Dickerson
• Bridgae Dickerson
• Chante Dickerson, DO
• Kylie Dickerson, MD
• Paul W Dickerson, D.C., LTD
• Marguerite A Dickey, PHD
• Bridget Maurine Dickinson, RN, CDE
• Doreen Sisk Dickinson, LPC
• Lidia Teresa Dickinson, RPH
• Curtis A Dickman, MD

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.