Individual provider Active NPI

Cynthia Rimkeit, OD

  • Optometrist
  • Portland, OR
National Provider Identifier
1861526980
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3249T Issued in OR
Practice address
9135 SW Barnes Rd
Suite 961
Portland, OR 97225-6646
Phone
(503) 292-0848
Fax
(503) 296-0635
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12098T CA
Optometrist 152W00000X 3249T OR Primary

Addresses

Primary practice location

9135 SW Barnes Rd
Suite 961
Portland, OR 97225-6646

Mailing address

6420 SW Macadam Ave
Suite 216
Portland, OR 97239-3507
Phone (503) 244-8601

Other identifiers 1

IdentifierTypeStateIssuer
500650432MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20111220000883 OR Practitioner - Optometry 0749456804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Group Associates, PCGroup PAC ID 4981676012, 2 clinicians

Practice addresses (Care Compare)

200 SW Market St
Suite L120
Portland, OR 97201-5717
Phone (503) 223-8147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12098TCAMDOptometrist
3249TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Group Associates PC CurrentSince Jan 1, 2024 Accepting new patients
Medical Eye Associates of Oregon,P.C. Past Accepting new patients
Oregon Eye Specialists PC Past Accepting new patients

Locations

200 SW Market St
Ste L120
Portland, OR 97201
Phone (503) 223-8147

Organizations & group practices 3

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1861526980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE",
            "address_2": "SUITE 216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393507",
            "telephone_number": "503-244-8601",
            "fax_number": "503-244-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD",
            "address_2": "SUITE 961",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256646",
            "telephone_number": "503-292-0848",
            "fax_number": "503-296-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMKEIT",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12098T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3249T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650432",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.