Individual
DR. RACHEL SHEWMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046008418
—
IL
01
—
050266
HEALTH ALLIANCE
—
01
—
0814870006
MEDICARE NSC NUMBER
MO
01
—
0814870013
MEDICARE NSC NUMBER
MO
01
—
0814870015
MEDICARE NSC NUMBER
MO
01
—
106598
ANTHEM BLUE CROSS BLUE SHIELD
—
05
—
313901407
—
MO
01
—
410039298
MEDICARE RAILROAD
MO
01
—
MO2996
EYEMED
—
Enumeration date
05/16/2006
Last updated
10/06/2008
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