Kara C Rackovan, OD

Key facts

NPI

1831750108

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

2019021875 (MO)

Practice address

162 THF Blvd
Chesterfield, MO 63005-1141

Phone

(636) 537-0700

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 7

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.

• Nu-Crown, LLC Optometrist · Alton, IL · NPI 1295737294
  Medicare reassignment Care Compare group NPD MO · OPTOMETRIST
• Paige Hedgpath OD,PC Optometrist · Jefferson City, MO · NPI 1962644732
  Medicare reassignment NPD MO · OPTOMETRIST
• Nu-Crown, LLC Optometrist · Ballwin, MO · NPI 1710045810
  Care Compare group
• Nucrown, LLC Optometrist · Bridgeton, MO · NPI 1730586629
  Care Compare group
• Nucrown,Inc. Optometrist · St. Charles, MO · NPI 1114337102
  NPD OPTOMETRIST
• Paige Hedgpath Odpc Optometrist · Columbia, MO · NPI 1669530887
  NPD OPTOMETRIST
• Aeg Oregon Professional LLC Optometrist · Salem, OR · NPI 1679253397
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nucrown, LLC (22 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2022.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1831750108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026220",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 THF BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051141",
            "telephone_number": "636-537-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKOVAN",
        "first_name": "KARA",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019021875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Chesterfield, MO · Optometrist in Missouri