Active NPI
Rachel Grace Horrocks, O.D.
- Optometrist
- Lake Oswego, OR
National Provider Identifier
1245483452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3266ATI
- Practice address
- 15480 Boones Ferry Rd
Lake Oswego, OR 97035-3429 - Phone
- (503) 708-8032
- NPI assigned
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3266ATI | OR | Primary |
Addresses
Primary practice location
15480 Boones Ferry Rd
Lake Oswego, OR 97035-3429
Mailing address
15480 Boones Ferry Rd
Lake Oswego, OR 97035-3429
Phone (503) 708-8032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- 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
- Pacific University - College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1319 NE 134TH St
Suite 107
Vancouver, WA 98685-2718
Phone (360) 573-3937
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 |
|---|---|---|---|
| 3266ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
13317 NE 12th Ave
Ste 107
Vancouver, WA 98685
Phone (360) 350-4794
1319 NE 134th St
Ste 107
Vancouver, WA 98685
Phone (360) 566-4700
Organizations & group practices 2
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
- Vancouver, WA
- NPI 1255518239
-
- Optometrist
- Lake Oswego, OR
- NPI 1750506937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1245483452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15480 BOONES FERRY RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353429",
"telephone_number": "503-708-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15480 BOONES FERRY RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353429",
"telephone_number": "503-708-8032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORROCKS",
"first_name": "RACHEL",
"middle_name": "GRACE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3266ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.