Individual provider Active NPI

Dennis W Rabe, OD

  • Optometrist
  • Taylorville, IL
National Provider Identifier
1710980560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
900 W Springfield Rd
Taylorville, IL 62568-1213
Phone
(217) 824-4991
Fax
(217) 824-5414
NPI assigned
May 24, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

900 W Springfield Rd
Taylorville, IL 62568-1213

Mailing address

900 W Springfield Rd
Taylorville, IL 62568-1213
Phone (217) 824-4991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110223000593 IL Practitioner - Optometry 7113032889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008024ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Optometric Associates LTD Optometrist Current Accepting new patients
Central Illinois Optometric Associates LTD Optometrist CurrentSince Jan 1, 1987 Accepting new patients
Springfield Vision Care Associates, LTD Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Central Illinois Optometric Associates LTD Optometrist CurrentSince Jan 1, 1987 Accepting new patients
Springfield Clinic, LLP PastSince Apr 1, 2022 Accepting new patients

Locations

623 Pulaski St
Lincoln, IL 62656
Phone (217) 732-9606

121 N Grand Ave W
Springfield, IL 62702
Phone (217) 528-3233

900 W Springfield Rd
Taylorville, IL 62568
Phone (217) 824-4400

900 W Springfield Rd
Ste 2
Taylorville, IL 62568
Phone (217) 287-1300

Interoperability endpoints

  • Direct secure messaging: dennisrabe@adveyecare.eyefinity-direct.com
  • Direct secure messaging: drabe@adveyecare.eyefinitydirect.com

Organizations & group practices 5

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710980560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SPRINGFIELD RD",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681213",
            "telephone_number": "217-824-4991",
            "fax_number": "217-824-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SPRINGFIELD RD",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681213",
            "telephone_number": "217-824-4991",
            "fax_number": "217-824-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABE",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.