Individual provider Active NPI

Rachel Haresh Jhala, OD

  • Optometrist
  • Fuquay Varina, NC
National Provider Identifier
1497531446
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2753 Issued in NC
Practice address
1340 N Main St
Fuquay Varina, NC 27526-2617
Phone
(919) 552-3181
Fax
(919) 552-0197
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2753 NC Primary

Addresses

Primary practice location

1340 N Main St
Fuquay Varina, NC 27526-2617

Mailing address

1340 N Main St
Fuquay Varina, NC 27526-2617
Phone (919) 552-3181

Other practice location 1

918 7th Ave
Garner, NC 27529-3677
Phone (919) 779-3560

Other practice location 2

3603 Davis Dr Ste 100
Morrisville, NC 27560-6009
Phone (919) 234-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231214001987 NC Practitioner - Optometry 0941659023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

2210 E NC 54 Hwy
Durham, NC 22713
Phone (919) 544-2020

3603 Davis Dr
Suite 100
Morrisville, NC 27560-6009
Phone (919) 234-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2753NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Optometric Associates PA Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 4, 2023 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Jul 29, 2024 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 4, 2023 Accepting new patients

Locations

2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093

1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771

2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224

2346 Walnut St
Cary, NC 27518
Phone (919) 851-0093

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

2210 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

1340 N Main St
Fuquay Varina, NC 27526
Phone (919) 552-3181

918 7th Ave
Garner, NC 27529
Phone (919) 779-3560

3603 Davis Dr
Ste 100
Morrisville, NC 27560
Phone (919) 234-4888

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1497531446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262617",
            "telephone_number": "919-552-3181",
            "fax_number": "919-552-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262617",
            "telephone_number": "919-552-3181",
            "fax_number": "919-552-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275293677",
            "country_code": "US",
            "telephone_number": "919-779-3560",
            "fax_number": "919-779-5773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3603 Davis Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275606009",
            "country_code": "US",
            "telephone_number": "919-234-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHALA",
        "first_name": "RACHEL",
        "middle_name": "HARESH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.