Individual provider Active NPI

Rachel Martel

  • Optometrist
  • King City, OR
National Provider Identifier
1144869306
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4504 Issued in OR
Practice address
15405 SW 116TH Ave Ste 204
King City, OR 97224-4101
Phone
(971) 371-3927
Fax
(503) 270-4452
NPI assigned
Jan 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X ATI4504 OR Primary

Addresses

Primary practice location

15405 SW 116TH Ave Ste 204
King City, OR 97224-4101

Mailing address

15405 SW 116TH Ave Ste 204
King City, OR 97224-4101
Phone (971) 371-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210804003692 OR Practitioner - Optometry 6002210663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Gatti Vision LLCGroup PAC ID 7618305764, 2 clinicians

Practice addresses (Care Compare)

15405 SW 116TH Ave
Suite 204
King City, OR 97224-4101
Phone (971) 371-3927

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4504ORMDClinical Social Worker
ATI4504ORMDOptometrist

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": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1144869306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 204",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972244101",
            "telephone_number": "971-371-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 204",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972244101",
            "telephone_number": "971-371-3927",
            "fax_number": "503-270-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEL",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, OR

Sources for this page

Verify at the official NPI Registry.