Individual provider Active NPI

Rachel Marie Obrien, OD

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1346968401
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6170 Issued in FL
Practice address
9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone
(239) 418-0999
Fax
(239) 418-0091
NPI assigned
Aug 16, 2022
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 OPC6170 FL Primary

Addresses

Primary practice location

9617 Gulf Research LN
Fort Myers, FL 33912-4555

Mailing address

9617 Gulf Research LN
Fort Myers, FL 33912-4555
Phone (239) 418-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220826001010 FL Practitioner - Optometry 6507240439 Reassigns benefits to 1 organization
I20241002002136 OH Practitioner - Optometry 6507240439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M Frantz, MD PA CurrentSince Aug 16, 2022 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jul 5, 2024 Accepting new patients
O'Brien Optics LLC Optometrist Current Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jul 5, 2024 Accepting new patients

Locations

12731 New Brittany Blvd
Fort Myers, FL 33907
Phone (941) 418-0999

3020 Lee Blvd
Ste 12
Lehigh Acres, FL 33971
Phone (239) 369-2010

9617 Gulf Research Ln
South Fort Myers, FL 33912
Phone (239) 418-0262

111 E 4th St
Ste 440
Alton, IL 62002

2331 Columbus Ave
Sandusky, OH 44870
Phone (419) 626-0272

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

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, 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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1346968401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124555",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 GULF RESEARCH LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124555",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.