Individual provider Active NPI

Rachel Kain Nebb, O.D.

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1366674905
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4452 Issued in FL
Practice address
9858 Clint Moore Rd
Suite 107
Boca Raton, FL 33496-1034
Phone
(203) 606-4256
NPI assigned
Aug 16, 2009
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4452 FL Primary

Addresses

Primary practice location

9858 Clint Moore Rd
Suite 107
Boca Raton, FL 33496-1034

Mailing address

9858 Clint Moore Rd
Suite 107
Boca Raton, FL 33496-1034
Phone (203) 606-4256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110519000382 FL Practitioner - Optometry 9931385317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boca Family Eye Care LLCGroup PAC ID 0345412045, 3 clinicians

Practice addresses (Care Compare)

9858 Clint Moore Rd
C107
Boca Raton, FL 33496-1034
Phone (561) 479-0521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4452FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Family Eye Care Optometrist Current Accepting new patients
Boca Family Eye Care, LLC Optometrist CurrentSince Sep 1, 2011 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

9858 Clint Moore Rd
Ste 107
Boca Raton, FL 33496
Phone (203) 606-4256

9858 Clint Moore Rd
Ste C107
Boca Raton, FL 33496
Phone (561) 479-0521

4400 N State Road 7
Coral Springs, FL 33073
Phone (954) 366-2135

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": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1366674905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD",
            "address_2": "SUITE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "203-606-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD",
            "address_2": "SUITE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "203-606-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBB",
        "first_name": "RACHEL",
        "middle_name": "KAIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.