Basic Information
| Provider Information | |||||||||
| NPI: | 1205440641 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RACHEL J RIPPEY OD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12625 MEMORIAL DR APT 182 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770248814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136477684 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5800 BELLAIRE BLVD STE 112A | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770815537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137717867 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2020 | ||||||||
| LastUpdateDate: | 09/02/2020 | ||||||||
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| AuthorizedOfficialLastName: | RIPPEY | ||||||||
| AuthorizedOfficialFirstName: | RACHEL | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OPTOMETRIST | ||||||||
| AuthorizedOfficialTelephone: | 7136477684 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
| NPICertificationDate: | 09/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.