Active NPI
Dana Linnea Rawlings, O.D.
- Low Vision Rehabilitation Optometrist
- West Covina, CA
National Provider Identifier
1104008382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 12853T
- Practice address
- 1000 Lakes Dr Ste 180
West Covina, CA 91790-2927 - Phone
- (626) 919-4821
- NPI assigned
- Nov 29, 2007
- 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 |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 12853T | CA | Primary |
Addresses
Primary practice location
1000 Lakes Dr Ste 180
West Covina, CA 91790-2927
Mailing address
640 Golden Springs Dr
Unit D
Diamond Bar, CA 91765-1170
Phone (626) 290-8193
Other names 1
- Dana Linnea Rasmussen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12853T | CA | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Morris OD a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Azusa, CA
- NPI 1992914865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1104008382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 GOLDEN SPRINGS DR",
"address_2": "UNIT D",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651170",
"telephone_number": "626-290-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAKES DR STE 180",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902927",
"telephone_number": "626-919-4821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINGS",
"first_name": "DANA",
"middle_name": "LINNEA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "12853T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "RASMUSSEN",
"middle_name": "LINNEA",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.