Individual provider Active NPI

Rebecca Jael Jangula, OD

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1205063104
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60099366 Issued in WA
Practice address
13414 E Sprague Ave
Spokane Valley, WA 99216-0848
Phone
(509) 924-2015
Fax
(509) 921-9373
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60099366 WA Primary

Addresses

Primary practice location

13414 E Sprague Ave
Spokane Valley, WA 99216-0848

Mailing address

13414 E Sprague Ave
Spokane Valley, WA 99216-0848
Phone (509) 924-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20120104000667 ID Practitioner - Optometry 0749326031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Falls Optometric Physicians PLLCGroup PAC ID 9234300344, 2 clinicians

Practice addresses (Care Compare)

185 W 4TH Ave
Suite a
Post Falls, ID 83854-4979
Phone (208) 773-7434

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60099366WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Post Falls Optometric Physicians PLLC Optometrist CurrentSince Dec 1, 2011 Accepting new patients
James C Wavra Optometrist Past Accepting new patients
Melissa Barnhart, OD, PLLC Optometrist PastSince Sep 18, 2013 Accepting new patients

Locations

185 W 4th Ave
Ste A
Post Falls, ID 83854
Phone (208) 773-7434

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1205063104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13414 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160848",
            "telephone_number": "509-924-2015",
            "fax_number": "509-921-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160848",
            "telephone_number": "509-924-2015",
            "fax_number": "509-921-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGULA",
        "first_name": "REBECCA",
        "middle_name": "JAEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60099366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.