Individual provider Active NPI

Rebecca C Dale, M.D.

  • Ophthalmology Physician
  • North Bend, WA
National Provider Identifier
1790864080
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00047608 Issued in WA
Practice address
126 E 2ND St
North Bend, WA 98045-9175
Phone
(425) 831-2020
Fax
(425) 831-0027
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00047608 WA Primary

Addresses

Primary practice location

126 E 2ND St
North Bend, WA 98045-9175

Mailing address

126 E 2ND St
North Bend, WA 98045-9175
Phone (425) 292-0716

Other identifiers 1

IdentifierTypeStateIssuer
1037874MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000508 WA Practitioner - Ophthalmology 5496853681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Partners PLLCGroup PAC ID 7911120084, 5 clinicians

Practice addresses (Care Compare)

126 E 2ND St
North Bend, WA 98045-9175
Phone (425) 831-2020

22620 SE 4TH St
Suite 110
Sammamish, WA 98074-7375
Phone (425) 242-6868

7726 Ctr Blvd SE
Suite 100
Snoqualmie, WA 98065-8749
Phone (425) 831-2060

Merit-based Incentive Payment System (MIPS)

Final score
61.8 of 100Reported as individual
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
72.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery173
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00047608WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Partners, PLLC Ophthalmology Current Accepting new patients
Eastside Medical Group, LLC Past Accepting new patients

Locations

1301 4th Ave NW
Ste 201
Issaquah, WA 98027
Phone (425) 270-3713

126 E 2nd St
North Bend, WA 98045
Phone (425) 831-2020

22620 SE 4th St
Ste 110
Sammamish, WA 98074
Phone (425) 242-6868

7726 Center Blvd SE
Ste 100
Snoqualmie, WA 98065
Phone (425) 831-2020

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1790864080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E 2ND ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459175",
            "telephone_number": "425-292-0716",
            "fax_number": "425-292-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E 2ND ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459175",
            "telephone_number": "425-831-2020",
            "fax_number": "425-831-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "REBECCA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00047608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037874",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

Verify at the official NPI Registry.