Individual provider Active NPI

Robert Gregg Rainer, O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1164514311
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000110 Issued in VA
Practice address
5617 W Broad St
Richmond, VA 23230-2614
Phone
(804) 282-7228
Fax
(804) 285-3781
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000110 VA Primary

Addresses

Primary practice location

5617 W Broad St
Richmond, VA 23230-2614

Mailing address

5617 W Broad St
Richmond, VA 23230-2614
Phone (804) 282-7228

Other identifiers 1

IdentifierTypeStateIssuer
9237411MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20121015000431 VA Practitioner - Optometry 2062662778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Rainer and Ryan Optometrists PLCGroup PAC ID 4486688355, 5 clinicians
Vision Center PCGroup PAC ID 9931260320, 4 clinicians
James River Eye AssociatesGroup PAC ID 1557510831, 5 clinicians

Practice addresses (Care Compare)

10116 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233-1111
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230-2614
Phone (804) 282-7228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000110VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Center PC Optometrist CurrentSince Apr 30, 2017 Accepting new patients
James River Eye Associates Optometrist CurrentSince Oct 1, 1990 Accepting new patients
DRS Rainer & Ryan Optometrists PLC Optometrist CurrentSince Jan 1, 2001 Accepting new patients
Franklin L. Levin, O.D., P.C. Optometrist Past Accepting new patients
Richmond Eye Care, PLLC Optometrist PastSince Nov 29, 2017 Accepting new patients

Locations

10116 Brook Rd
Glen Allen, VA 23059
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

Organizations & group practices 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1164514311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302614",
            "telephone_number": "804-282-7228",
            "fax_number": "804-285-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302614",
            "telephone_number": "804-282-7228",
            "fax_number": "804-285-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINER",
        "first_name": "ROBERT",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9237411",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.