Individual provider Active NPI

Rachel Marie Dixon, OD

  • Optometrist
  • East Hartford, CT
National Provider Identifier
1114704236
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3322 Issued in CT
Practice address
893 Main St Ste 201
East Hartford, CT 06108-2293
Phone
(860) 528-5816
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3322 CT Primary

Addresses

Primary practice location

893 Main St Ste 201
East Hartford, CT 06108-2293

Mailing address

893 Main St Ste 201
East Hartford, CT 06108-2293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20231005002826 CT Practitioner - Optometry 0840645131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greloch Eyecare LLCGroup PAC ID 3072926336, 4 clinicians

Practice addresses (Care Compare)

105 A W Main St
New Britain, CT 06051-2216
Phone (860) 407-9534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greloch Eyecare, LLC Optometrist CurrentSince Sep 22, 2023 Accepting new patients

Locations

893 Main St
Ste 201
East Hartford, CT 06108
Phone (860) 528-5816

105A W Main St
New Britain, CT 06051
Phone (860) 407-9534

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1114704236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 201",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST STE 201",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082293",
            "telephone_number": "860-528-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.