Elizabeth Rachael Ide, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

I4-0010113 Issued in DE

Practice address

472 E Main St
Middletown, DE 19709-1462

Phone

(302) 239-1933

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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

• Simon Eye Associates PA

  • Optometrist
  • Wilmington, DE
  • NPI 1205871506
  Medicare reassignment Care Compare group NPD
• Eye Associates of Bucks County

  • Ophthalmology Physician
  • Langhorne, PA
  • NPI 1609926658
  NPD

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1982363966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091462",
            "telephone_number": "302-239-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091462",
            "telephone_number": "302-239-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "ELIZABETH",
        "middle_name": "RACHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "DE",
            "license": "I4-0010113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simoneye.com",
            "affiliation": "Y",
            "affiliationName": "Simon Eye Associates PA",
            "address_1": "472 E Main St",
            "city": "Middletown",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197091462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Horizon House Delaware Inc (Echo Center - Middletown)
• Kameron Elizabeth Orr Huff, LCSW
• Hummingbird Counseling & Consulting LLC
• Sophia Husain, DMD
• Lauryn Daziel Hylton
• Chukwuemeka Igwe
• Imperial Psychiatric Services LLC
• Integrated Health, LLC
• Internal Medicine of Delaware, LLC
• Aaron Jackson, PT

• Pediatric Optometrist in Middletown, DE
• Providers in Middletown, DE by specialty
• Pediatric Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.