Jason Patrick Rich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003122 Issued in IN

Practice address

2314 Dubois Dr
Warsaw, IN 46580-3213

Phone

(574) 269-1849

Fax

(574) 269-1429

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Spectacle Shoppe, Inc.

  • Optician
  • Warsaw, IN
  • NPI 1750598801
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689880478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803213",
            "telephone_number": "574-269-1849",
            "fax_number": "574-269-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803213",
            "telephone_number": "574-269-1849",
            "fax_number": "574-269-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JASON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Renz
• Devin Susann Rethlake
• Chad Reynolds, MA
• Sean Michael Rhodes, DPM
• Katrina Rice, LSW
• Daniel Rico, DPT
• Colin Michael Ridenour, MD
• Leslie Ringger, MA
• Amanda Rink
• Ashley Ritchey, BCBA

• Optometrist in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.