Rachelle Penka, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1532 Issued in SC

Practice address

180 N Dean St
Spartanburg, SC 29302-1503

Phone

(864) 583-3125

Fax

(864) 542-1367

NPI assigned

Aug 4, 2008

Last updated

Feb 1, 2013By the provider in NPPES

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

Other identifiers 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

University of Missouri St Louis - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Vision Associates LLCGroup PAC ID 5799683959, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Carolina Vision Associates, LLC

  • Optometrist
  • Spartanburg, SC
  • NPI 1255357356
  Medicare reassignment Care Compare group
• Carolina Vision Associates, LLC

  • Optometrist
  • Inman, SC
  • NPI 1669784054
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1437315934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021503",
            "telephone_number": "864-583-3125",
            "fax_number": "864-542-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021503",
            "telephone_number": "864-583-3125",
            "fax_number": "864-542-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENKA",
        "first_name": "RACHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1532",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Pelino, MD
• Bridgette Flaherty Pelletier, CRNA
• Lesley Pena, LPC
• Maria Victoria S Penaflor, RPH
• Anna Pendrey
• Amber Louise Pennington, LMSW
• Elizabeth Wieland Pennington
• People R People Compassionate Care LLC
• Fantasia Kimmiah Pereira
• Roberto Jose Pereyo, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.