Jensen Elizabeth Rafool, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2138 Issued in SC

Practice address

1470 Tobias Gadson Blvd Ste 115
Charleston, SC 29407-4835

Phone

(845) 556-2020

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Draisin Vision Group PAGroup PAC ID 8123102563, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@neildraisinodcharlestonsc.compulinkdirect.com

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.

• Draisin Vision Group PA

  • Optometrist
  • Charleston, SC
  • NPI 1174726210
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1386206266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CENTRAL HAVEN DR APT 403",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643797",
            "telephone_number": "309-267-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD STE 115",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074835",
            "telephone_number": "845-556-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFOOL",
        "first_name": "JENSEN",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@NeilDraisinODCharlestonSC.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "1470 Tobias Gadson Blvd Ste 115",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294074835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Radiation Oncology Associates of Charleston
• Radical Roots Counseling, Professional Corporation
• Sandra E Radzyminski
• Caroline Rae, MS, CCC-SLP
• Anila W. Rafiq, DPM
• Kelly R Ragucci, PHARMD, BCPS, CDE
• Fiona Fang Rahbar, M.D.
• Arifeen Sylvanna Rahman, MD
• Rakin Rahman
• Anne M Rahtjen, PHARMD

• Optometrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.