Individual provider Active NPI

Rachael Renee White, O.D.

  • Optometrist
  • Beavercreek, OH
National Provider Identifier
1346449063
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5740 Issued in OH
Practice address
4244 Indian Ripple Rd
Beavercreek, OH 45440-3279
Phone
(937) 320-0300
Fax
(937) 320-0500
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5740 OH Primary

Addresses

Primary practice location

4244 Indian Ripple Rd
Beavercreek, OH 45440-3279

Mailing address

4244 Indian Ripple Rd
Beavercreek, OH 45440-3279
Phone (937) 320-0300

Other names 1

  • Dr. Rachael Renee Prenger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071002000043 OH Practitioner - Optometry 3870688146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Vision Care, P.L.L.Group PAC ID 1052397809, 4 clinicians

Practice addresses (Care Compare)

4244 Indian Ripple Rd
Suite 100
Beavercreek, OH 45440-3248
Phone (937) 320-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5740OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stahl Vision Inc Optometrist CurrentSince Jun 5, 2018 Accepting new patients
Nova Vision Care, P.L.L. Optometrist CurrentSince Aug 1, 2008 Accepting new patients

Locations

4244 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 320-0300

4235 Indian Ripple Rd
Ste 100
Dayton, OH 45440
Phone (937) 427-2020

4244 Indian Ripple Rd
Ste 100
Dayton, OH 45440
Phone (937) 320-0300

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1346449063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 INDIAN RIPPLE RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403279",
            "telephone_number": "937-320-0300",
            "fax_number": "937-320-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 INDIAN RIPPLE RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403279",
            "telephone_number": "937-320-0300",
            "fax_number": "937-320-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RACHAEL",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "PRENGER",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.