Provider Demographics
NPI:1508914938
Name:SUMNEY, RACHEL W (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:W
Last Name:SUMNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:W
Other - Last Name:SHETLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1203 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8385
Mailing Address - Country:US
Mailing Address - Phone:919-932-1757
Mailing Address - Fax:919-960-2908
Practice Address - Street 1:501 HAMPTON POINTE BLVD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9012
Practice Address - Country:US
Practice Address - Phone:919-643-2015
Practice Address - Fax:919-643-2011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1559152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMS1254058OtherDEA
NC2470142BMedicare ID - Type Unspecified
NC462537Medicare UPIN