Active NPI
Sarah Nicole Rappach, OD
- Optometrist
- Fort Liberty, NC
National Provider Identifier
1730617325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5348
- Practice address
- 2817 Rock Merritt Ave
Fort Liberty, NC 28310-9608 - Phone
- (910) 907-6000
- NPI assigned
- May 26, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2535 | NC | |
| Optometrist | 152W00000X | OPC5348 | FL | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Liberty, NC 28310-9608
Mailing address
1951 Peters PL
Clearwater, FL 33764-7597
Phone (727) 560-2950
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 |
|---|---|---|---|
| 2535 | NC | MD | Chiropractor |
| OPC5348 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1730617325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 PETERS PL",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337647597",
"telephone_number": "727-560-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283109608",
"telephone_number": "910-907-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPACH",
"first_name": "SARAH",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-26",
"last_updated": "2024-08-19",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2535",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Liberty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.