Individual provider Active NPI

Rebecca Jean Callahan, O.D., M.B.A.

  • Optometrist
  • Milford, OH
National Provider Identifier
1659807741
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1984 Issued in SC
Practice address
915 Center St
Milford, OH 45150
Phone
(513) 600-8348
NPI assigned
May 10, 2017
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1984 SC Primary

Addresses

Primary practice location

915 Center St
Milford, OH 45150

Mailing address

915 Center St
Milford, OH 45150-1305
Phone (513) 600-8348

Other practice location 1

8801 Horizon Blvd NE
Albuquerque, NM 87113-1533
Phone (505) 828-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180912001912 NM Practitioner - Optometry 7012267065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-0300
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

5757 Harper Dr NE
Albuquerque, NM 87109-3566
Phone (505) 888-5757

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
1984SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico, LTD. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rebecca.callahan.p1@direct.eyenm.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1659807741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CENTER ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501305",
            "telephone_number": "513-600-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CENTER ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-600-8348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 Horizon Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871131533",
            "country_code": "US",
            "telephone_number": "505-828-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.