Individual provider Active NPI

Rachel R Lefebvre, O.D.

  • Optometrist
  • Athens, OH
National Provider Identifier
1114204195
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6095 Issued in OH
Practice address
14 University Estates Blvd Ste 100
Athens, OH 45701-3375
Phone
(740) 594-2271
Fax
(740) 594-2270
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6095 OH Primary

Addresses

Primary practice location

14 University Estates Blvd Ste 100
Athens, OH 45701-3375

Mailing address

14 University Estates Blvd Ste 100
Athens, OH 45701-3375
Phone (740) 594-2271

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130129000442 OH Practitioner - Optometry 4789838749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Eye Care LLCGroup PAC ID 4981666880, 5 clinicians

Practice addresses (Care Compare)

14 University Estates Blvd
Suite 100
Athens, OH 45701-3375
Phone (740) 594-2271

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6095OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Eye Care, LLC Optometrist CurrentSince Aug 8, 2016 Accepting new patients
Hocking Hills Eye Care LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Mobile Medical Inc Optometrist CurrentSince Jul 12, 2016 Accepting new patients
Mobile Medical, Inc. CurrentSince Jul 12, 2016 Accepting new patients
John Balko and Associates Inc Optometrist PastSince Jan 1, 2000 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

416 W Union St
Athens, OH 45701
Phone (740) 594-2271

14 University Estates Blvd
#100
Athens, OH 45701
Phone (740) 594-2271

31630 Chieftain Dr
Logan, OH 43138
Phone (740) 385-4017

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

102 N Keel Ridge Rd
Hermitage, PA 16148
Phone (724) 347-0591

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1114204195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 UNIVERSITY ESTATES BLVD STE 100",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013375",
            "telephone_number": "740-594-2271",
            "fax_number": "740-594-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 UNIVERSITY ESTATES BLVD STE 100",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013375",
            "telephone_number": "740-594-2271",
            "fax_number": "740-594-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEBVRE",
        "first_name": "RACHEL",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.