Active NPI
Rachel A Vonderach, OD, FAAO, MED VFL
- Optometrist
- Mt Washington, KY
National Provider Identifier
1710340211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008678-1
- Practice address
- 600 Bluffs Edge Dr
Mt Washington, KY 40047-6813 - Phone
- (720) 810-7042
- NPI assigned
- Apr 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | TUV008678-1 | NY | Primary |
Addresses
Primary practice location
600 Bluffs Edge Dr
Mt Washington, KY 40047-6813
Mailing address
600 Bluffs Edge Dr
Mt Washington, KY 40047-6813
Phone (720) 810-7042
Other practice location 1
8900 Prairie Knoll Dr
Longmont, CO 80503
Phone (720) 810-7042
Other practice location 2
900 Washington Rd
West Point, NY 10996-1109
Phone (845) 938-2206 ext. 7714
Other names 1
- Rachel Schreiber
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008678-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1710340211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BLUFFS EDGE DR",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400476813",
"telephone_number": "720-810-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BLUFFS EDGE DR",
"city": "MT WASHINGTON",
"state": "KY",
"postal_code": "400476813",
"telephone_number": "720-810-7042"
}
],
"practiceLocations": [
{
"address_1": "8900 Prairie Knoll Dr",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "80503",
"country_code": "US",
"telephone_number": "720-810-7042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Washington Rd",
"address_purpose": "LOCATION",
"city": "West Point",
"state": "NY",
"postal_code": "109961109",
"country_code": "US",
"telephone_number": "845-938-2206 x7714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VONDERACH",
"first_name": "RACHEL",
"middle_name": "A",
"credential": "OD, FAAO, MED VFL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008678-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "SCHREIBER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mt Washington, KY
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- Jessica Utley, PMHNP-BC
- Valu Discount Inc (Valumarket Pharmacy)
- Sumer Paige Volz, BCBA
- Walgreen Co (Rite Aid)
- Walgreen Co (Walgreens #09225)
- Jacob E Walton, PHARMD
- Meghan Michelle Welle, DPT
- Sara Mae Michele Welsh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.