Individual provider Active NPI

Rachel Rintelmann Williams, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1285367482
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3740 Issued in TN
Practice address
1245 Madison Ave
Memphis, TN 38104-2211
Phone
(901) 722-3250
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3740 TN Primary

Addresses

Primary practice location

1245 Madison Ave
Memphis, TN 38104-2211

Mailing address

288 Night Sail Dr S Apt 103
Memphis, TN 38103-1724
Phone (321) 544-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220805001429 TN Practitioner - Optometry 0042692105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Cunningham Taylor PCGroup PAC ID 0244216562, 15 clinicians

Practice addresses (Care Compare)

104 Keller LN
Maryville, TN 37801-6201
Phone (865) 584-0905

Merit-based Incentive Payment System (MIPS)

Final score
89.31 of 100Reported as group
Quality
97.97
Promoting interoperability
85
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Cunningham Taylor PC CurrentSince Sep 15, 2023 Accepting new patients
Southern College of Optometry Optometrist CurrentSince Jul 29, 2022 Accepting new patients
Campbell Cunningham Taylor PC Optometrist CurrentSince Sep 15, 2023 Accepting new patients
Southern College of Optometry Optometrist PastSince Jul 29, 2022 Accepting new patients

Locations

1124 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 8655840905322

104 Keller Ln
Maryville, TN 37801
Phone (865) 681-3937

628 Smithview Dr
Maryville, TN 37803
Phone (865) 984-7012

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

212 Rawlins Service Ct
Memphis, TN 38152
Phone (901) 252-3697

Interoperability endpoints

  • Direct secure messaging: rwilliams@ccth.intellechartdirect.net

Organizations & group practices 4

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1285367482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 NIGHT SAIL DR S APT 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031724",
            "telephone_number": "321-544-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211",
            "telephone_number": "901-722-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHEL",
        "middle_name": "RINTELMANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.