Rachel Hope Blakemore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ATI4695 Issued in OR

Practice address

1522 SW Sunset Blvd
Portland, OR 97239-2626

Phone

(503) 473-8039

Fax

(503) 473-8952

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Hope Ellis Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abc Optometric PCGroup PAC ID 0446343321, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abc Optometric PC

  • Optometrist
  • Hillsboro, OR
  • NPI 1285824417
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1245918580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 SW SUNSET BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392626",
            "telephone_number": "503-473-8039",
            "fax_number": "503-473-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 SW SUNSET BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392626",
            "telephone_number": "503-473-8039",
            "fax_number": "503-473-8952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2991 SE 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971236210",
            "country_code": "US",
            "telephone_number": "503-649-7566",
            "fax_number": "503-649-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20661 SW Roy Rogers Rd Ste 503",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "971409277",
            "country_code": "US",
            "telephone_number": "503-625-5599",
            "fax_number": "503-625-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "RACHEL",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ELLIS",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa D Blake, LMT
• Tyschal Lumbrea Blake
• Kerra E Blakely, CADC, LCSW
• Thomas Lawrence Blakely, CCC-SLP
• Cortney C Blakemore, CRNA
• Patricia Evans Blakeslee, L.AC., R.N.
• David Blakey
• Lisa Blakley, PA
• Anne Elizabeth Blanchard, PSS, CRM
• Catherine Blanchard, LPC, MA, CADC1

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.