Individual provider Active NPI

Michael Rebarchik, OD

  • Corneal and Contact Management Optometrist
  • Georgetown, DE
National Provider Identifier
1871806372
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
I30001352 Issued in DE
Practice address
502 W Market St
Georgetown, DE 19947-2322
Phone
(302) 856-2020
Fax
(302) 856-4970
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X I30001352 DE Primary

Addresses

Primary practice location

502 W Market St
Georgetown, DE 19947-2322

Mailing address

502 W Market St
Georgetown, DE 19947-2322
Phone (302) 856-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20120927000083 DE Practitioner - Optometry 5395930184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sussex Eye Center PAGroup PAC ID 4284623596, 9 clinicians

Practice addresses (Care Compare)

32030 Long Neck Rd
Millsboro, DE 19966-6228
Phone (302) 947-2020

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
64.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I30001352DEMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Eye Center PA Corneal and Contact Management CurrentSince May 30, 2012 Accepting new patients
Peninsula Eye Center PA PastSince May 30, 2012 Accepting new patients

Locations

502 W Market St
Ste A
Georgetown, DE 19947
Phone (302) 645-8881

502 W Market St
Georgetown, DE 19947
Phone (302) 629-3044

1540 Savannah Rd
Ste A
Lewes, DE 19958
Phone (302) 645-2020

32030 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-8881

32030 Long Neck Rd
Ste A
Millsboro, DE 19966

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1871806372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBARCHIK",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "DE",
            "license": "I30001352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.