Organization Active NPI

Ashley Rossman Eye Care

  • Ophthalmology Physician
  • Bay Harbor, MI
National Provider Identifier
1003471269
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASHLEY ROSSMAN EYE CARE
Practice address
4070 Charlevoix
Bay Harbor, MI 49770
Phone
(231) 487-5315
Fax
(231) 487-5316
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Ashley J Rossman, DONPI 1396184776
Title
Provider
Phone
(231) 487-5315

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4070 Charlevoix
Bay Harbor, MI 49770

Mailing address

4070 Charlevoix
Bay Harbor, MI 49770
Phone (231) 487-5315

Other practice location 1

560 W Mitchell St Ste 204
Petoskey, MI 49770-2276
Phone (231) 487-0171

Other names 1

  • Ashley Rossman Eye Care, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618002806 MI Part B Supplier - Clinic/Group Practice 6406180801 Receives reassigned benefits from 4 practitioners
Practice locations: Bay Harbor, MI; Petoskey, MI

National Provider Directory

National Provider Directory

Locations

4070 Charlevoix Rd
Petoskey, MI 49770
Phone (231) 487-5315

932 Spring St
Ste 101A
Petoskey, MI 49770

560 W Mitchell St
Ste 204
Petoskey, MI 49770
Phone (231) 487-0171

Practitioners & affiliated clinicians

Practitioners 5

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": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1003471269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 CHARLEVOIX",
            "city": "BAY HARBOR",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-5315",
            "fax_number": "231-487-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 CHARLEVOIX",
            "city": "BAY HARBOR",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-5315",
            "fax_number": "231-487-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W Mitchell St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702276",
            "country_code": "US",
            "telephone_number": "231-487-0171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASHLEY ROSSMAN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "ROSSMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "231-487-5315",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Rossman Eye Care, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashley Rossman Eye Care, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.