Active NPI
Paula Rapaport, O.D.
- Optometrist
- Fairfield, OH
National Provider Identifier
1710004783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3835 T607
- Practice address
- 1117 Magie Ave
Fairfield, OH 45014-1823 - Phone
- (513) 829-8808
- Fax
- (513) 829-5305
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3835 T607 | OH | Primary |
Addresses
Primary practice location
1117 Magie Ave
Fairfield, OH 45014-1823
Mailing address
8802 Hollyhock Dr
Cincinnati, OH 45231-5016
Phone (513) 931-0673
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0627067 | Medicaid | OH | |
| 142643 | Other | OH | COLE VISION |
| 26340 | Other | OH | SPECTERA |
| OP1212 | Other | OH | EYEMED |
| 30572 | Other | OH | DAVIS VISION |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3835 T607 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twelve Thirty Optical, Inc. | Past | Accepting new patients |
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.
-
- Eyewear Supplier
- Fairfield, OH
- NPI 1225159213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710004783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8802 HOLLYHOCK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452315016",
"telephone_number": "513-931-0673",
"fax_number": "513-931-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 MAGIE AVE",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450141823",
"telephone_number": "513-829-8808",
"fax_number": "513-829-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPAPORT",
"first_name": "PAULA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3835 T607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0627067",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE VISION",
"identifier": "142643",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "26340",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "OP1212",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "30572",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.