Individual provider Active NPI

Rachel Gates, O.D.

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1174526479
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004106 Issued in MI
Practice address
750 E Beltline Ave NE
Ste 202
Grand Rapids, MI 49525-6049
Phone
(616) 588-6542
Fax
(616) 365-2076
NPI assigned
May 31, 2005
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004106 MI Primary

Addresses

Primary practice location

750 E Beltline Ave NE
Ste 202
Grand Rapids, MI 49525-6049

Mailing address

750 E Beltline Ave NE
Ste 202
Grand Rapids, MI 49525-6046
Phone (616) 949-2600

Other identifiers 3

IdentifierTypeStateIssuer
900D111550OtherMIBCBS
P00192048OtherMIMEDICARE RR
4803926MedicaidMI

Other names 1

  • Dr. Rachel Gates Hollenbeck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040512000056 MI Practitioner - Optometry 7416946611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 949-2600

Merit-based Incentive Payment System (MIPS)

Final score
75.03 of 100Reported as group
Quality
85.46
Promoting interoperability
100
Improvement activities
40
Cost
31.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, PC CurrentSince Jan 3, 2005 Accepting new patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Jan 3, 2005 Accepting new patients
Gro Optical, LLC PastSince Feb 1, 2013 Accepting new patients
Walker Surgical Center LLC PastSince May 17, 2020 Accepting new patients
Holicki Eye Centers, P.C. Optometrist Past Accepting new patients
Holicki Optical Inc Optometrist Past Accepting new patients

Locations

4020 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (866) 418-7215

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

750 E Beltline Ave NE
Ste 202
Grand Rapids, MI 49525
Phone (616) 588-6542

112 S Clay St
Greenville, MI 48838
Phone (616) 754-5667

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachel.gates.p1@direct.grophthalmology.nextgenshare.com
  • Direct secure messaging: rachel.hollenbeck.p1@direct.grophthalmology.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1174526479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BELTLINE AVE NE",
            "address_2": "STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256046",
            "telephone_number": "616-949-2600",
            "fax_number": "616-954-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E BELTLINE AVE NE",
            "address_2": "STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256049",
            "telephone_number": "616-588-6542",
            "fax_number": "616-365-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900D111550",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00192048",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4803926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HOLLENBECK",
            "middle_name": "GATES",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.