Individual provider Active NPI

Rebecca Ann Swartzentruber, O.D.

  • Optometrist
  • Lexington, KY
National Provider Identifier
1154619997
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1844DT Issued in KY
Practice address
118 Marion Ste 120
Lexington, KY 40517-8360
Phone
(859) 271-6194
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 1844DT KY Primary

Addresses

Primary practice location

118 Marion Ste 120
Lexington, KY 40517-8360

Mailing address

118 Marion Ste 120
Lexington, KY 40517-8360
Phone (859) 271-6194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110824000472 KY Practitioner - Optometry 7416127733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Snipes OD and Associates PSCGroup PAC ID 2163584624, 14 clinicians

Practice addresses (Care Compare)

118 Marion
Suite 120
Lexington, KY 40517-8360
Phone (859) 271-6194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Daniel L Weinberg OD PSC Optometrist PastSince Oct 15, 2023 Accepting new patients

Organizations & group practices 3

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1154619997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MARION STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405178360",
            "telephone_number": "859-271-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MARION STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405178360",
            "telephone_number": "859-271-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZENTRUBER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1844DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.