Individual provider Active NPI

Rachel Penney, O.D.

  • Optometrist
  • McKeesport, PA
National Provider Identifier
1255582193
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002728 Issued in PA
Practice address
722 Long Run Rd
McKeesport, PA 15132-7427
Phone
(412) 751-5609
NPI assigned
Oct 9, 2008
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002728 PA Primary

Addresses

Primary practice location

722 Long Run Rd
McKeesport, PA 15132-7427

Mailing address

722 Long Run Rd
McKeesport, PA 15132-7427
Phone (412) 751-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130502000187 PA Practitioner - Optometry 9931346343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rachel Penney OD LLCGroup PAC ID 1052617313, 2 clinicians

Practice addresses (Care Compare)

4706 Library Rd
Bethel Park, PA 15102-2918
Phone (412) 831-7757

722 Long Run Rd
McKeesport, PA 15132-7427
Phone (412) 751-5609

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1255582193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 LONG RUN RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327427",
            "telephone_number": "412-751-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 LONG RUN RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327427",
            "telephone_number": "412-751-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "RACHEL",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.