Individual provider Active NPI

Rebecca Rasmussen, O.D.

  • Optometrist
  • Williston, ND
National Provider Identifier
1306171483
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3275 Issued in MN
Practice address
1500 14TH St W Ste 100
Williston, ND 58801-4077
Phone
(701) 577-3937
NPI assigned
Oct 7, 2009
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3275 MN Primary

Addresses

Primary practice location

1500 14TH St W Ste 100
Williston, ND 58801-4077

Mailing address

1500 14TH St W Ste 100
Williston, ND 58801-4077
Phone (701) 577-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20191216000427 ND Practitioner - Optometry 0648429159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williston Basin Eyecare Associates PCGroup PAC ID 4183892995, 7 clinicians

Practice addresses (Care Compare)

1500 14TH St W
Suite 100
Williston, ND 58801-4077
Phone (701) 577-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3275MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Williston Basin Eyecare Associates, P.C. Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Brook McFarlin Chiropractic LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

1500 14th St W
Ste 100
Williston, ND 58801
Phone (701) 577-3937

Interoperability endpoints

  • Direct secure messaging: rrasmussen@willistonbasineyecare.eyefinity-direct.com

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1306171483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 100",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014077",
            "telephone_number": "701-577-3937",
            "fax_number": "701-577-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 100",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014077",
            "telephone_number": "701-577-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.