Individual provider Active NPI

Dawn Rakich, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1528029543
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3383TG Issued in TX
Practice address
2267 NW Military Hwy
Ste 106
San Antonio, TX 78213-1852
Phone
(210) 340-3535
Fax
(210) 340-3581
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3383TG TX Primary

Addresses

Primary practice location

2267 NW Military Hwy
Ste 106
San Antonio, TX 78213-1852

Mailing address

2267 NW Military Hwy
Ste 106
San Antonio, TX 78213-1852
Phone (210) 340-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121004000494 TX Practitioner - Optometry 3678687142 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2267 N W Military Hwy 106
San Antonio, TX 78213-1846
Phone (210) 340-3535

2267 NW Military Hwy
Suite 106
San Antonio, TX 78213-1846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3383TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Rakich OD Optometrist CurrentSince Apr 19, 2004 Accepting new patients

Locations

2267 NW Military Hwy
Ste 106
San Antonio, TX 78213
Phone (210) 340-3535

Organizations & group practices 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1528029543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 NW MILITARY HWY",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131852",
            "telephone_number": "210-340-3535",
            "fax_number": "210-340-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 NW MILITARY HWY",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131852",
            "telephone_number": "210-340-3535",
            "fax_number": "210-340-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKICH",
        "first_name": "DAWN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3383TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.