Individual provider Active NPI

Rachel Lamis, O.D.

  • Optometrist
  • Marysville, WA
National Provider Identifier
1467708032
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60290385 Issued in WA
Practice address
1083 Cedar Ave
Marysville, WA 98270-4232
Phone
(360) 659-1446
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60290385 WA Primary

Addresses

Primary practice location

1083 Cedar Ave
Marysville, WA 98270-4232

Mailing address

19708 15TH Ave NE
Apt 29
Shoreline, WA 98155-1189
Phone (641) 680-1373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140120000705 WA Practitioner - Optometry 1052549094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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
Eye Doctors of Marysville IncGroup PAC ID 1153559190, 2 clinicians

Practice addresses (Care Compare)

1083 Cedar Ave
Marysville, WA 98270-4232
Phone (360) 659-1446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60290385WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Marysville Inc Optometrist CurrentSince Feb 1, 2014 Accepting new patients
Eye Doctors LTD PS Optometrist PastSince Feb 1, 2014 Accepting new patients

Locations

1083 Cedar Ave
Marysville, WA 98270
Phone (360) 568-6666

Organizations & group practices 2

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1467708032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19708 15TH AVE NE",
            "address_2": "APT 29",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551189",
            "telephone_number": "641-680-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 CEDAR AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704232",
            "telephone_number": "360-659-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMIS",
        "first_name": "RACHEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60290385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.