Nicole A Rush, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2856ATI Issued in OR

Practice address

1095 Alabama Ave.
Bandon, OR 97411

Phone

(541) 347-3622

Fax

(541) 347-2872

NPI assigned

May 5, 2006

Last updated

Apr 29, 2015By the provider in NPPES

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

Other names 1

• Nicole Rush Erenfeld Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coos Eye Centers IncGroup PAC ID 0547254724, 4 clinicians

Eye Center of Brookings LLCGroup PAC ID 7113911595, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

13.37 of 100Reported as individual

Quality

25

Improvement activities

0

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coos Eye Centers, Inc.

  dba Coquille Vision Center

  • Optometrist
  • Coquille, OR
  • NPI 1508069428
  Medicare reassignment Care Compare group NPD
• Eye Center of Brookings, LLC

  • Optometrist
  • Brookings, OR
  • NPI 1912010596
  Medicare reassignment Care Compare group NPD
• Coos Eye Centers, Inc.

  dba Eye Center of Gold Beach

  • Optometrist
  • Gold Beach, OR
  • NPI 1275265795
  NPD Authorized official
• Coos Eye Centers, Inc.

  dba Bandon Vision Center

  • Optometrist
  • Bandon, OR
  • NPI 1518158500
  NPD
• John H Hunts MD PHD LLC

  • Medical Specialty Clinic/Center
  • Eugene, OR
  • NPI 1053556019
  NPD (past)
• Pacific University

  dba Pacific Psychology & Comprehensive Health Clinic

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1912377193
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1467400952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 956",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "97411",
            "telephone_number": "541-347-3622",
            "fax_number": "541-347-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 ALABAMA AVE.",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "97411",
            "telephone_number": "541-347-3622",
            "fax_number": "541-347-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2856ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227958",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ERENFELD",
            "middle_name": "RUSH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane Michele Reid, ARNP
• Emily Anne Reinig, DO
• Richard C. Dowling DMD LLC (Bandon Family Dental Care)
• Vivian A. Rowe, LMFT
• Robert Hay Rudell, DDS
• Lynden Scahill, OTR/L
• Merri Lynne Seegrist, LCSW
• Mariarose M Shanahe, LCSW
• Sharon C Strong DMD PC
• Ariel Jui-Yu Shih, PHARMD, RPH

• Optometrist in Bandon, OR
• Providers in Bandon, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.