Individual provider Active NPI

Andrew Rummel, OD

  • Optometrist
  • Atascadero, CA
National Provider Identifier
1184754574
Registry record updated Apr 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11823T Issued in CA
Practice address
8105 Morro Rd Ste B
Atascadero, CA 93422-3911
Phone
(661) 220-0711
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11823T CA Primary

Addresses

Primary practice location

8105 Morro Rd Ste B
Atascadero, CA 93422-3911

Mailing address

8105 Morro Rd Ste B
Atascadero, CA 93422-3911
Phone (661) 220-0711

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2162COMDProfessional Counselor
11823TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luminoptix Optometry Optometrist PastSince Aug 9, 2020 Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208044800000",
    "number": "1184754574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 MORRO RD STE B",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223911",
            "telephone_number": "661-220-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 MORRO RD STE B",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223911",
            "telephone_number": "661-220-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMEL",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11823T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2008; 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.