Individual provider Active NPI

Rachel Irimescu, ABOC

  • Optician
  • Royal Oak, MI
National Provider Identifier
1154199149
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
228947 Issued in MI
Practice address
601 N Main St
Royal Oak, MI 48067-1833
Phone
(248) 439-0115
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 228947 MI Primary

Addresses

Primary practice location

601 N Main St
Royal Oak, MI 48067-1833

Mailing address

28275 Couzens Ave
Madison Heights, MI 48071-2946
Phone (248) 321-5897

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

LicenseStateTypeSpecialty
228947MIMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1154199149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28275 COUZENS AVE",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712946",
            "telephone_number": "248-321-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671833",
            "telephone_number": "248-439-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIMESCU",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "ABOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MI",
            "license": "228947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.