Individual provider Active NPI

Rachel Kostelyk, OD

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1720783137
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6241 Issued in FL
Practice address
316 Del Prado Blvd S
Cape Coral, FL 33990-1710
Phone
(239) 278-3600
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6241 FL Primary

Addresses

Primary practice location

316 Del Prado Blvd S
Cape Coral, FL 33990-1710

Mailing address

PO Box 919771
Orlando, FL 32891-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240312000960 FL Practitioner - Optometry 8527404615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Massachusetts Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers of Southwest Florida IncGroup PAC ID 3173432085, 37 clinicians

Practice addresses (Care Compare)

316 Del Prado Blvd S
Cape Coral, FL 33990-1710
Phone (844) 342-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of Southwest Florida Inc Current Accepting new patients
Family Health Centers of Southwest Florida Inc CurrentSince Jun 7, 2025 Accepting new patients

Locations

316 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 226-4620

2232 Grand Ave
Fort Myers, FL 33901
Phone (239) 344-2330

3415 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 344-2305

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1720783137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901710",
            "telephone_number": "239-278-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELYK",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.