Individual provider Active NPI

Rachel Spillane, O.D.

  • Optometrist
  • Everett, WA
National Provider Identifier
1194038026
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60167259 Issued in WA
Practice address
2907 107TH St SE
Everett, WA 98208-4452
Phone
(360) 631-3377
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60167259 WA Primary
Low Vision Rehabilitation Optometrist 152WL0500X OD60167259 WA

Addresses

Primary practice location

2907 107TH St SE
Everett, WA 98208-4452

Mailing address

2907 107TH St SE
Everett, WA 98208-4452
Phone (360) 631-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120125000893 WA Practitioner - Optometry 3375710734 Reassigns benefits to 1 organization
I20221028002381 TX Practitioner - Optometry 3375710734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulalip Tribes of WashingtonGroup PAC ID 7719879782, 24 clinicians

Practice addresses (Care Compare)

7520 Totem Beach Rd
Tulalip, WA 98271-6160
Phone (360) 716-4511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60167259WAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington Current Accepting new patients
Tulalip Tribes of Washington CurrentSince Oct 1, 2022 Accepting new patients
Tulalip Tribes of Washington Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Vision Plus Stanwood, PLLC Optometrist PastSince Jan 1, 2016 Accepting new patients

Locations

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

6406 Marine Dr
Ste A
Tulalip, WA 98271

Interoperability endpoints

  • Direct secure messaging: drrachelspillane@everett-optometry-clinic.direct.kno2fy.com

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1194038026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 107TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084452",
            "telephone_number": "360-631-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 107TH ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084452",
            "telephone_number": "360-631-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLANE",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60167259",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "WA",
            "license": "OD60167259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.