Individual provider Active NPI

Natalee Camille Rackus

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1508530890
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36120 Issued in CA
Practice address
477 E Colorado Blvd
Pasadena, CA 91101-2024
Phone
(626) 796-1191
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007096 OH
Optometrist 152W00000X OEG003831 PA
Optometrist 152W00000X 36120 CA Primary

Addresses

Primary practice location

477 E Colorado Blvd
Pasadena, CA 91101-2024

Mailing address

477 E Colorado Blvd
Pasadena, CA 91101-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913002019 OH Practitioner - Optometry 2365846409 Reassigns benefits to 2 organizations
I20260116003392 CA Practitioner - Optometry 2365846409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East-West Eye Institute a Medical CorporationGroup PAC ID 0042297376, 16 clinicians

Practice addresses (Care Compare)

475 W Badillo St
Covina, CA 91723-1834
Phone (626) 732-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36120CAMDChiropractor
OEG003831PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Society for the Blind Optometrist CurrentSince Sep 30, 2022 Accepting new patients
Linden Optometry a Professional Corporation Optometrist CurrentSince Nov 9, 2025 Accepting new patients
East-West Eye Institute a Medical Corporation Past Accepting new patients
Dr. Arlene T. Yepremian, O.D. a Professional Corporation Optometrist PastSince Oct 5, 2025 Accepting new patients
Cleveland Society for the Blind PastSince Sep 30, 2022 Accepting new patients

Locations

477 E Colorado Blvd
Pasadena, CA 91101
Phone (626) 796-1191

1909 E 101st St
Cleveland, OH 44106
Phone (216) 791-8118

Interoperability endpoints

  • Direct secure messaging: nataleerakcus@direct.eyecare-partners.com

Organizations & group practices 8

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1508530890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012024",
            "telephone_number": "626-796-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKUS",
        "first_name": "NATALEE",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007096",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003831",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.