RACHEL MARIE LUNDBERG O.D.
NPI 1356704787
Optometrist in Black River Falls, WI

Q: What is Rachel Lundberg's NPI number?

The NPI number for Rachel Lundberg is 1356704787. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Q: What is Rachel Lundberg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Lundberg was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2016PECOS EnrolledAccepts Medicare Assignment

N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615(715) 284-9851(715) 284-4574 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jul 21, 2022, Aug 17, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Rachel Marie Lundberg O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL MARIE LUNDBERG O.D. (NPI 1356704787) is an individual optometrist in Black River Falls, Wisconsin, licensed in Wisconsin (3429) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2016).

NPPES Registry Identity

NPI1356704787

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameRACHEL MARIE LUNDBERGCredential: O.D.

Location AddressN6520 LUMBERJACK GUY RDBlack River Falls, WI 54615-5405

Mailing AddressN6520 Lumberjack Guy RoadBlack River Falls, WI 54615 · (715) 284-9851

Phone(715) 284-9851

Fax(715) 284-4574

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2016

Enumeration DateApril 2, 2016

Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1356704787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 3429

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

N6520 LUMBERJACK GUY RD, Black River Falls, WI 54615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Group Health Cooperative-SCW, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Marie Lundberg O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991091050

PECOS Enrollment IDI20161110000072

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rachel Lundberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ho-Chunk Nation

Same address

Federally Qualified Health Center (FQHC)

N6520 LUMBERJACK GUY RD
Black River Falls, WI 54615

Reassigned Medicare billing, Wisconsin enrollment
35 clinicians in this Medicare group

NPI 1407911795 (715) 284-9851

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL GRACE DUTTON PHARMD

Pharmacist