Individual provider Active NPI

Rachel E Engelbarts, O.D.

  • Optometrist
  • Bluffton, SC
National Provider Identifier
1396158259
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1819 Issued in SC
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SC3430E499OtherSCMEDICARE
D18194MedicaidSC
P01512731OtherSCRAILROAD MEDICARE
DA9560MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228000166 MO Practitioner - Optometry 6800013178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1819SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paige Hedgpath Odpc Optometrist CurrentSince Aug 18, 2022 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Aug 18, 2022 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

  • Direct secure messaging: 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

Sources for this page

Verify at the official NPI Registry.