Active NPI
Rachel E Engelbarts, O.D.
- Optometrist
- Bluffton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1819
- Practice address
- 10 William Pope Dr
Bluffton, SC 29909-7549 - Phone
- (843) 842-2020
- Fax
- (843) 705-1512
- NPI assigned
- Jun 9, 2014
- Last updated
- Mar 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1819 | SC | Primary |
Addresses
Primary practice location
10 William Pope Dr
Bluffton, SC 29909-7549
Mailing address
10 William Pope Dr
Bluffton, SC 29909-7549
Phone (843) 842-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC3430E499 | Other | SC | MEDICARE |
| D18194 | Medicaid | SC | |
| P01512731 | Other | SC | RAILROAD MEDICARE |
| DA9560 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1819 | SC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paige Hedgpath Odpc | Optometrist | Current | Accepting new patients |
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| B &B Eyecare, LLC | Optometrist | Past | Accepting new patients |
| Lake Family Vision Center Inc | Optometrist | Past | Accepting new patients |
Locations
117 S Business Route 5
Camdenton, MO 65020
Phone (573) 346-5951
117 S Business Route 5
#1887
Camdenton, MO 65020
Phone (573) 346-5951
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
138 S Main St
Gravois Mills, MO 65037
Phone (573) 280-2884
138 S Main St
Ste C
Gravois Mills, MO 65037
Phone (573) 374-5222
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
3251 Bagnell Dam Blvd
Ste D
Lake Ozark, MO 65049
Phone (573) 365-3717
5962 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (573) 348-2747
Interoperability endpoints
- rachel.engelbarts@direct.revolutionehr.com
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": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1396158259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLIAM POPE DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097549",
"telephone_number": "843-842-2020",
"fax_number": "843-705-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WILLIAM POPE DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097549",
"telephone_number": "843-842-2020",
"fax_number": "843-705-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBARTS",
"first_name": "RACHEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "SC3430E499",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D18194",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01512731",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9560",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
- Anna Claire Ellis, DDS
- Debra Ann Elsner, OTR/L
- Erica Elz
- Embrace Your Change LLC
- Encompass Health Rehabilitation Hospital of Bluffton LLC (Encompass Health Rehabilitation Hospital of Bluffton)
- Jane Smith Epps, RN, BSN
- Jennifer Lynn Erickson, D.C.
- Jenika Jade Errato, FNP
- Ashley Rose Escobar
- Essex Medical Supply
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.