Individual provider Active NPI

Lauren Rabon, OD

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1992226336
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002900 Issued in VA
Practice address
2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085
Phone
(540) 373-3021
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2685 MD
Optometrist 152W00000X 008941 NY
Optometrist 152W00000X 0618002900 VA Primary

Addresses

Primary practice location

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085

Mailing address

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085
Phone (540) 373-3021

Other practice location 1

1804 Broadway
New York, NY 10019-1404
Phone (212) 262-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191003000117 NY Practitioner - Optometry 0446521900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthur Bukhatetsky OD PLLCGroup PAC ID 0042336331, 6 clinicians

Practice addresses (Care Compare)

519 5TH Ave
Brooklyn, NY 11215-7372
Phone (718) 768-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008941NYMDOptometrist
33751CAMDOrthopedic Physical Therapist

Organizations & group practices 1

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1992226336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CARL D SILVER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015085",
            "telephone_number": "540-373-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CARL D SILVER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015085",
            "telephone_number": "540-373-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191404",
            "country_code": "US",
            "telephone_number": "212-262-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABON",
        "first_name": "LAUREN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2685",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008941",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.