Jake David Rancic, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3751 Issued in MN

Practice address

144 Tyler Rd N Ste B
Red Wing, MN 55066-1889

Phone

(651) 388-3838

Fax

(651) 388-6838

NPI assigned

Oct 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Essential Eyecare Minnesota IncGroup PAC ID 9537547351, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Essential Eyecare Minnesota Inc

  • Optometrist
  • Red Wing, MN
  • NPI 1720739022
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1770255267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 TYLER RD N STE B",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661889",
            "telephone_number": "651-388-3838",
            "fax_number": "651-388-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TYLER RD N STE B",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661889",
            "telephone_number": "651-388-3838",
            "fax_number": "651-388-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCIC",
        "first_name": "JAKE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MN3751",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.rancic@pearlerw.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "144 Tyler Rd N Ste B",
            "city": "Red Wing",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550661889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian D Proctor, MD
• Pronto Health Services Inc
• Whitney Elizabeth Quast, M.S.
• Jennifer M Radtke, MD
• Nicole J. Ramstad, LPCC
• Jodene Lee Rectenwald, RPH
• Red Wing Chiropractic Clinic PA
• Red Wing Chiropractic Wellness P.a.
• Red Wing Healing Arts PLLC
• Red Wing Health Center

• Optometrist in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.