Rachel C Mancini-Grimm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5131-T2030 Issued in OH

Practice address

368 S Hamilton Rd
Gahanna, OH 43230-3350

Phone

(614) 478-5030

Fax

(614) 475-5497

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Columbus Ophthalmology Center I, LTD

  • Specialist
  • Westerville, OH
  • NPI 1730351602
  Medicare reassignment NPD
• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment NPD
• Cardinal Family Eye Care, LLC

  • Optometrist
  • Worthington, OH
  • NPI 1366622060
  NPD (past)
• Central Ohio Vision and Eyecare, LLC

  • Optometrist
  • New Albany, OH
  • NPI 1891276507
  NPD (past)
• Columbus Eye Care Associates, Inc.

  • Optometrist
  • Columbus, OH
  • NPI 1003080961
  NPD (past)
• Muirfield Eye Care Center, Inc.

  • Optometrist
  • Dublin, OH
  • NPI 1629117221
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1396887972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 S HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303350",
            "telephone_number": "614-478-5030",
            "fax_number": "614-475-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 S HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303350",
            "telephone_number": "614-478-5030",
            "fax_number": "614-475-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI-GRIMM",
        "first_name": "RACHEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5131-T2030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211798",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Monique Mackey
• Sarah Maguire, RDN, CSO, LD
• John David Mahilo, D.D.S.
• Tamara Mahmoud, DO
• James R Male III, DDS
• April Lynn Mancuso, PSYD
• Charles J Manfresca, DO
• Cody James Mansfield
• Marcus Counseling LLC
• Samantha Marek, L.AC.

• Optometrist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.

Verify at the official NPI Registry.