Individual provider Active NPI

Rebekah Elizabeth Todd, O.D.

  • Optometrist
  • Warsaw, IN
National Provider Identifier
1235161035
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003626A Issued in IN
Practice address
2250 N Pointe Dr
Warsaw, IN 46582-9042
Phone
(574) 267-3515
Fax
(574) 267-3259
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009867 IL
Optometrist 152W00000X 1800DT KY
Optometrist 152W00000X 18003626A IN Primary

Addresses

Primary practice location

2250 N Pointe Dr
Warsaw, IN 46582-9042

Mailing address

2250 N Pointe Dr
Warsaw, IN 46582-9042
Phone (574) 267-3515

Other identifiers 4

IdentifierTypeStateIssuer
200989490MedicaidIN
7100125250MedicaidKY
000000672073OtherINBCBS
000000672073OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20100730000005 KY Practitioner - Optometry 2163426479 Reassigns benefits to 1 organization
I20100826000526 IN Practitioner - Optometry 2163426479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

2250 N Pointe Dr
Warsaw Family Eyecare
Warsaw, IN 46582-9042
Phone (574) 267-3515

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009867ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Indiana Professional PC Optometrist CurrentSince Sep 7, 2022 Accepting new patients
Johnson Eye Care Inc Optometrist PastSince Jul 8, 1999 Accepting new patients

Locations

711 N River Dr
Marion, IN 46952
Phone (765) 388-3033

2250 N Pointe Dr
Warsaw, IN 46582
Phone (574) 267-3515

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235161035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N POINTE DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829042",
            "telephone_number": "574-267-3515",
            "fax_number": "574-267-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N POINTE DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829042",
            "telephone_number": "574-267-3515",
            "fax_number": "574-267-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "REBEKAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009867",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1800DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003626A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200989490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100125250",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000672073",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000672073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.