Individual provider Active NPI

Rachelle Goller, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1689758419
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007118 Issued in NY
Practice address
130 Fort Washington Ave
Suite 1M
New York, NY 10032-4724
Phone
(212) 568-8600
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007118 NY Primary

Addresses

Primary practice location

130 Fort Washington Ave
Suite 1M
New York, NY 10032-4724

Mailing address

130 Fort Washington Ave
Suite 1M
New York, NY 10032-4724
Phone (212) 305-2241

Other names 1

  • Rachelle Weinstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1689758419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FORT WASHINGTON AVE",
            "address_2": "SUITE 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324724",
            "telephone_number": "212-305-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORT WASHINGTON AVE",
            "address_2": "SUITE 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324724",
            "telephone_number": "212-568-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLER",
        "first_name": "RACHELLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "WEINSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.