Individual provider Active NPI

Rachel Melissa Holzman, O.D.

  • Optometrist
  • Jackson Heights, NY
National Provider Identifier
1861755027
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007846 Issued in NY
Practice address
82-02 37TH Ave
Jackson Heights, NY 11372-2947
Phone
(718) 502-9821
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007846 NY Primary

Addresses

Primary practice location

82-02 37TH Ave
Jackson Heights, NY 11372-2947

Mailing address

11029 67TH Dr
Forest Hills, NY 11375-2947
Phone (718) 793-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130626000098 NY Practitioner - Optometry 2365681244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

187 E 116TH St
New York, NY 10029-1342
Phone (212) 996-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007846NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wizard of Eyes of 116 St Inc Optometrist CurrentSince May 1, 2022 Accepting new patients
Vision Quest Optical of Jackson Heights, Inc. Optometrist CurrentSince Jan 26, 2013 Accepting new patients

Locations

8202 37th Ave
Jackson Hts, NY 11372
Phone (718) 478-3539

187 E 116th St
New York, NY 10029
Phone (212) 876-4240

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1861755027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11029 67TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752947",
            "telephone_number": "718-793-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-02 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722947",
            "telephone_number": "718-502-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMAN",
        "first_name": "RACHEL",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.