Active NPI
Rebekah Elizabeth Todd, O.D.
- Optometrist
- Warsaw, IN
National Provider Identifier
1235161035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003626A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200989490 | Medicaid | IN | |
| 7100125250 | Medicaid | KY | |
| 000000672073 | Other | IN | BCBS |
| 000000672073 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
2250 N Pointe Dr
Warsaw Family Eyecare
Warsaw, IN 46582-9042
Phone (574) 267-3515
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.009867 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Indiana Professional PC | Optometrist | Current | Accepting new patients |
| Johnson Eye Care Inc | Optometrist | Past | 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.
-
- Optometrist
- Warsaw, IN
- NPI 1043944127
-
- Optometrist
- Louisville, KY
- NPI 1134111271
-
- Optometrist
- Cary, IL
- NPI 1235222340
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.