Individual provider Active NPI

Ann Elizabeth Rast, LDO

  • Optician
  • Dade City, FL
National Provider Identifier
1902595259
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO6110 Issued in FL
Practice address
37421 Orange Valley LN
Dade City, FL 33525-1822
Phone
(407) 435-4292
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO6110 FL Primary

Addresses

Primary practice location

37421 Orange Valley LN
Dade City, FL 33525-1822

Mailing address

37421 Orange Valley LN
Dade City, FL 33525-1822
Phone (407) 435-4292

Other names 1

  • Mrs. Ann Happel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO6110FLMDOptician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1902595259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37421 ORANGE VALLEY LN",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335251822",
            "telephone_number": "407-435-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37421 ORANGE VALLEY LN",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335251822",
            "telephone_number": "407-435-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAST",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "HAPPEL",
            "prefix": "MRS.",
            "credential": "LDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.