Rebecca Kae Musick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

130799 Issued in AK

Practice address

16331 Heritage PL Ste 104
Eagle River, AK 99577-7753

Phone

(907) 694-2511

Fax

(907) 694-3900

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

Other names 1

• Rebecca Kae Mikolajczyk Former name

Medicare fee-for-service enrollment

Enrolled in AK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eagle River Vision Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Eagle River, AK
  • NPI 1558301945
  Medicare reassignment NPD
• Eric Noll OD PC

  • Optometrist
  • Kodiak, AK
  • NPI 1487245676
  Medicare reassignment NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  NPD
• Valley Vision Clinic PS

  • Optometrist
  • Walla Walla, WA
  • NPI 1558320838
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1962470864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL STE 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777753",
            "telephone_number": "907-694-2511",
            "fax_number": "907-694-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL STE 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777753",
            "telephone_number": "907-694-2511",
            "fax_number": "907-694-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK",
        "first_name": "REBECCA",
        "middle_name": "KAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3061",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "130799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE RETIRE",
            "identifier": "410028715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "58527503",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "032340000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTR",
            "identifier": "100457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPPR",
            "identifier": "410028715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR SEATTLE DFE",
            "identifier": "610605300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017747",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "U44759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "25766226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM HEALTH PLAN OF WASH",
            "identifier": "8886644808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MIKOLAJCZYK",
            "middle_name": "KAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mount Susitna Therapeutic Associates, LLC
• Mountain Wellness Counseling Services LLC
• Michelle Marie Mueller, RN
• Erin Murphy
• Kelby Murphy, RDN
• Tana Marie Myers
• Rabiatou Napon Kabore
• National Vision, Inc.
• Chelsea Needham, PT
• Jaella Mae Loralea Nelson

• Optometrist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.