Active NPI
Natalee Camille Rackus
- Optometrist
- Pasadena, CA
National Provider Identifier
1508530890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 36120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36120 | CA | MD | Chiropractor |
| OEG003831 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Society for the Blind | Optometrist | Current | Accepting new patients |
| Linden Optometry a Professional Corporation | Optometrist | Current | Accepting new patients |
| East-West Eye Institute a Medical Corporation | Past | Accepting new patients | |
| Dr. Arlene T. Yepremian, O.D. a Professional Corporation | Optometrist | Past | Accepting new patients |
| Cleveland Society for the Blind | Past | 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
- 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.
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1285810994
CA
-
- Ophthalmology Physician
- San Pedro, CA
- NPI 1447896154
-
- Clinic/Center
- Glendale, CA
- NPI 1043547482
Optometrist
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1710057245
-
- Eyewear Supplier
- Cleveland, OH
- NPI 1093250250
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.