Organization Active NPI

Rachel Penney, OD, LLC

  • Optometrist
  • McKeesport, PA
National Provider Identifier
1073970216
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002728 Issued in PA
Legal business name
RACHEL PENNEY, OD, LLC
Practice address
722 Long Run Rd
McKeesport, PA 15132-7427
Phone
(412) 751-5609
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Rachel Lynn Penney, ODNPI 1255582193
Title
Optometrist
Phone
(717) 599-0912

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
Optometrist 152W00000X OEG002728 PA Primary

Addresses

Primary practice location

722 Long Run Rd
McKeesport, PA 15132-7427

Mailing address

722 Long Run Rd
McKeesport, PA 15132-7427
Phone (412) 751-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160311001834 PA Part B Supplier - Clinic/Group Practice 1052617313 Receives reassigned benefits from 2 practitioners
Practice locations: Bethel Park, PA; McKeesport, PA

National Provider Directory

National Provider Directory

Locations

722 Long Run Rd
McKeesport, PA 15132
Phone (412) 751-5609

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1073970216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 LONG RUN RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327427",
            "telephone_number": "412-751-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 LONG RUN RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327427",
            "telephone_number": "412-751-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL PENNEY, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "717-599-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.