Individual provider Active NPI

Rachel Owsiak, M.D.

  • Ophthalmology Physician
  • Brandon, FL
National Provider Identifier
1376707216
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
159804 Issued in FL
Practice address
403 Vonderburg Dr
Brandon, FL 33511-5501
Phone
(813) 681-1122
Fax
(813) 684-4924
NPI assigned
Jul 10, 2008
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301092755 MI
Ophthalmology Physician 207W00000X ME159804 FL
Ophthalmology Physician 207W00000X 2012020846 MO
Ophthalmology Physician 207W00000X 51915 TN
Ophthalmology Physician 207W00000X 159804 FL Primary

Addresses

Primary practice location

403 Vonderburg Dr
Brandon, FL 33511-5501

Mailing address

403 Vonderburg Dr
Brandon, FL 33511-5501
Phone (813) 654-0528

Other practice location 1

1701 Rickenbacker Dr Ste 102
Sun City Center, FL 33573-5363
Phone (813) 663-4887

Other practice location 2

13106 Vail Ridge Dr
Riverview, FL 33579-7187
Phone (813) 392-3311

Other identifiers 4

IdentifierTypeStateIssuer
431560263OtherMOTRICARE
1376707216MedicaidMO
1939760014MedicaidAR
P01094289OtherMORR MCR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rowsiak@floridaeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141014001202 TN Practitioner - Ophthalmology 2860640182 Reassigns benefits to 1 organization
I20230615002756 FL Practitioner - Ophthalmology 2860640182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

13106 Vail Ridge Dr
Riverview, FL 33579-7187
Phone (813) 392-3311

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 681-1122

403 Vonderburg Dr
Suite 101
Brandon, FL 33511-5501

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
96.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301092755MIMDInternal Medicine Physician
159804FLMDOphthalmology Physician
ME159804FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Henderson MD Facs Inc Ophthalmology Current Accepting new patients
Clarksville Ophthalmology P.C. Ophthalmology CurrentSince Aug 1, 2014 Accepting new patients
Gregory L Henderson MD Facs Inc Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Ophthalmology Past Accepting new patients

Locations

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

749 State Road 60 E
Lake Wales, FL 33853
Phone (863) 676-7624

2002 S Alexander St
Plant City, FL 33563
Phone (813) 754-3593

13106 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 392-3311

612 N US Highway 41
Ruskin, FL 33570
Phone (813) 645-3831

612 N US Highway 41
Fl Eye
Ruskin, FL 33570
Phone (813) 645-3831

1701 Rickenbacker Dr
Ste 102
Sun City Center, FL 33573
Phone (813) 634-8877

3115 W Swann Ave
Tampa, FL 33609
Phone (813) 492-2020

141 Chesapeake Ln
Ste 300
Clarksville, TN 37040
Phone (931) 552-6830

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachel.owsiak.p2@direct.cvilleophthalmology.nextgenshare.com
  • Direct secure messaging: rowsiak@floridaeye.intellechartdirect.net

Organizations & group practices 5

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1376707216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-654-0528",
            "fax_number": "813-654-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115501",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Rickenbacker Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735363",
            "country_code": "US",
            "telephone_number": "813-663-4887",
            "fax_number": "813-634-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13106 Vail Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797187",
            "country_code": "US",
            "telephone_number": "813-392-3311",
            "fax_number": "813-392-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWSIAK",
        "first_name": "RACHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092755",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME159804",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2012020846",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "51915",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "159804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376707216",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1939760014",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01094289",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rowsiak@floridaeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.