Active NPI
Rania B Montecillo, OD
- Optometrist
- Redmond, WA
National Provider Identifier
1659320539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3680
- Practice address
- 16375 NE 85TH St
Suite 102
Redmond, WA 98052-3554 - Phone
- (425) 885-7363
- Fax
- (425) 861-5585
- NPI assigned
- May 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3680 | WA | Primary |
Addresses
Primary practice location
16375 NE 85TH St
Suite 102
Redmond, WA 98052-3554
Mailing address
16375 NE 85TH St
Suite 102
Redmond, WA 98052-3554
Phone (425) 885-7363
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8630 164TH Ave NE
Suite 100
Redmond, WA 98052-1906
Phone (425) 885-7363
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3680 | WA | MD | Clinical Psychologist |
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.
-
- Optometrist
- Redmond, WA
- NPI 1295783033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1659320539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16375 NE 85TH ST",
"address_2": "SUITE 102",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523554",
"telephone_number": "425-885-7363",
"fax_number": "425-861-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16375 NE 85TH ST",
"address_2": "SUITE 102",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523554",
"telephone_number": "425-885-7363",
"fax_number": "425-861-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTECILLO",
"first_name": "RANIA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.