Organization Active NPI

Dr. Rachel Katims, O.D., PLLC

  • Optometrist
  • Port Washington, NY
National Provider Identifier
1992347710
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. RACHEL KATIMS, O.D., PLLC
Practice address
76 Main Street
Port Washington, NY 11050
Phone
(516) 767-2106
Fax
(516) 944-3711
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Dr. Rachel Katims, ODNPI 1326609819
Title
Optometrist
Phone
(516) 767-2106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

76 Main Street
Port Washington, NY 11050

Mailing address

76 Main Street
Port Washington, NY 11050
Phone (516) 767-2106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191206000166 NY Part B Supplier - Clinic/Group Practice 3072946920 Receives reassigned benefits from 1 practitioner
Practice locations: Port Washington, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1992347710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MAIN STREET",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-767-2106",
            "fax_number": "516-944-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MAIN STREET",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-767-2106",
            "fax_number": "516-944-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RACHEL KATIMS, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "KATIMS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-767-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.