Individual provider Active NPI

Rachel Evelyn Groff, OD

  • Optometrist
  • Surprise, AZ
National Provider Identifier
1124774377
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002738 Issued in AZ
Practice address
12801 W Bell Rd Ste 139
Surprise, AZ 85378-9734
Phone
(623) 583-0377
Fax
(623) 583-0378
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3728 TN
Optometrist 152W00000X OPT-002738 AZ Primary

Addresses

Primary practice location

12801 W Bell Rd Ste 139
Surprise, AZ 85378-9734

Mailing address

8956 W Luke Ave
Glendale, AZ 85305-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220323000343 TN Practitioner - Optometry 2668867995 Reassigns benefits to 1 organization
I20240130002463 AZ Practitioner - Optometry 2668867995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keen Eye Center LLCGroup PAC ID 2466805098, 2 clinicians
Murfreesboro Eye Center PLLCGroup PAC ID 3971974833, 6 clinicians

Practice addresses (Care Compare)

12801 W Bell Rd
Suite 139
Surprise, AZ 85378-9734
Phone (480) 980-4238

401 S Mount Juliet Rd
Suite 367
Mount Juliet, TN 37122-8544
Phone (615) 758-0874

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Eye Center PLLC Optometrist CurrentSince Nov 9, 2025 Accepting new patients
Keen Eye Center LLC Optometrist CurrentSince Nov 11, 2023 Accepting new patients

Locations

8340 W McDowell Rd
Phoenix, AZ 85037
Phone (623) 936-0468

12801 W Bell Rd
Ste 139
Surprise, AZ 85378
Phone (480) 980-4238

401 S Mount Juliet Rd
Ste 367
Mt Juliet, TN 37122
Phone (615) 758-0874

2615 Medical Center Pkwy
Ste 1765
Murfreesboro, TN 37129
Phone (419) 953-6993

Organizations & group practices 2

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1124774377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 W LUKE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 W BELL RD STE 139",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789734",
            "telephone_number": "623-583-0377",
            "fax_number": "623-583-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "RACHEL",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3728",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.