Organization Active NPI

Dawn M Rakich OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1073533535
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DAWN M RAKICH OD
Practice address
2267 NW Military Hwy
Ste 106
San Antonio, TX 78213-1846
Phone
(210) 340-3535
Fax
(210) 340-3581
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dawn M Rakich, O.D.NPI 1528029543
Title
Owner
Phone
(210) 340-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2267 NW Military Hwy
Ste 106
San Antonio, TX 78213-1846

Mailing address

2267 NW Military Hwy
Ste 106
San Antonio, TX 78213-1846
Phone (210) 340-3535

National Provider Directory

National Provider Directory

Locations

2267 NW Military Hwy
Ste 106
San Antonio, TX 78213
Phone (210) 340-3535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1073533535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 NW MILITARY HWY",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131846",
            "telephone_number": "210-340-3535",
            "fax_number": "210-340-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 NW MILITARY HWY",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131846",
            "telephone_number": "210-340-3535",
            "fax_number": "210-340-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN M RAKICH OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "RAKICH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-340-3535",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.