Individual provider Active NPI

Rachel Catherine Kormos, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1750845723
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2621 Issued in NC
Practice address
4400 Falls of Neuse Rd Ste 100
Raleigh, NC 27609-6287
Phone
(919) 872-1648
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2621 NC Primary

Addresses

Primary practice location

4400 Falls of Neuse Rd Ste 100
Raleigh, NC 27609-6287

Mailing address

4400 Falls of Neuse Rd Ste 100
Raleigh, NC 27609-6287
Phone (919) 872-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240318002480 NC Practitioner - Optometry 8426495177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2621NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sohi Eye Care OD PA Optometrist CurrentSince Apr 13, 2025 Accepting new patients
Carmen Foster McLean, M.D. PLLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

4400 Falls of Neuse Rd
Ste 100
Raleigh, NC 27609
Phone (919) 747-9589

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1750845723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096287",
            "telephone_number": "919-872-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 FALLS OF NEUSE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096287",
            "telephone_number": "919-872-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMOS",
        "first_name": "RACHEL",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.