Individual provider Active NPI

Derek Robert Rice, O.D.

  • Optometrist
  • Whittier, CA
National Provider Identifier
1952486417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9344T Issued in CA
Practice address
16414 Whittier Blvd
Whittier, CA 90603-3043
Phone
(562) 947-0391
Fax
(562) 947-0871
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9344T CA Primary

Addresses

Primary practice location

16414 Whittier Blvd
Whittier, CA 90603-3043

Mailing address

16414 Whittier Blvd
Whittier, CA 90603-3043
Phone (562) 947-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080423000623 CA Practitioner - Optometry 5799863247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16414 Whittier Blvd
Whittier, CA 90603-3043
Phone (562) 947-0391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9344TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Old Newport Optometric Associates Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Derek R. Rice, O.D., Professional Optometric Corp. Optometrist CurrentSince Aug 1, 2014 Accepting new patients

Locations

522 Old Newport Blvd
Newport Beach, CA 92663
Phone (949) 644-1112

16414 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-0391

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952486417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033043",
            "telephone_number": "562-947-0391",
            "fax_number": "562-947-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033043",
            "telephone_number": "562-947-0391",
            "fax_number": "562-947-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "DEREK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9344T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.