Individual provider Active NPI

Rachele Margaret Siegel, OD

  • Optometrist
  • Union City, PA
National Provider Identifier
1407385362
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003285 Issued in PA
Practice address
9239 Route 6
Union City, PA 16438-9727
Phone
(814) 438-2020
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003285 PA Primary

Addresses

Primary practice location

9239 Route 6
Union City, PA 16438-9727

Mailing address

11820 Hunters Ridge Blvd Apt 3
Meadville, PA 16335-6280
Phone (814) 657-8074

Other practice location 1

10 Kimberly Ln
Cranberry, PA 16319-3134
Phone (814) 676-6081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171130001098 PA Practitioner - Optometry 3870850712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9239 Route 6
Union City, PA 16438-9727
Phone (814) 438-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skelton Eye Care PC Optometrist CurrentSince Sep 22, 2017 Accepting new patients

Locations

9239 Route 6
Union City, PA 16438
Phone (814) 438-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407385362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 HUNTERS RIDGE BLVD APT 3",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356280",
            "telephone_number": "814-657-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 ROUTE 6",
            "city": "UNION CITY",
            "state": "PA",
            "postal_code": "164389727",
            "telephone_number": "814-438-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Kimberly Ln",
            "address_purpose": "LOCATION",
            "city": "Cranberry",
            "state": "PA",
            "postal_code": "163193134",
            "country_code": "US",
            "telephone_number": "814-676-6081",
            "fax_number": "814-676-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "RACHELE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, PA

Sources for this page

Verify at the official NPI Registry.