Individual provider Active NPI

Rachel Roman, OD

  • Optometrist
  • Concord, NH
National Provider Identifier
1033630454
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0951 Issued in NH
Practice address
304 Sheep Davis Rd
Concord, NH 03301-5736
Phone
(603) 226-1255
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0951 NH Primary

Addresses

Primary practice location

304 Sheep Davis Rd
Concord, NH 03301-5736

Mailing address

1200 Elm St Unit 708
Manchester, NH 03101-2517
Phone (732) 664-3453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529001351 NJ Practitioner - Optometry 8921341322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krosney, Berg, Talansky and Turtel, MDS PAGroup PAC ID 5193844066, 7 clinicians

Practice addresses (Care Compare)

525 Route 70
Brick, NJ 08723-4022
Phone (732) 477-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.4

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as group
Quality
86.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Krosney, Berg, Talansky & Turtel, MDS, PA CurrentSince Jul 1, 2024 Accepting new patients
Shore Eye Associates PA CurrentSince May 1, 2021 Accepting new patients
Invision Eyecare Specialists Optometrist CurrentSince Apr 1, 2019 Accepting new patients
Shore Eye Associates PA CurrentSince May 1, 2021 Accepting new patients

Locations

525 Route 70
Brick, NJ 08723
Phone (732) 920-1551

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

200 White Rd
Ste 201
Little Silver, NJ 07739
Phone (732) 530-8500

3333 Fairmont Ave
Ocean, NJ 07712
Phone (732) 988-4000

530 Lakehurst Rd
Ste 206
Toms River, NJ 08755
Phone (732) 341-4733

Interoperability endpoints

  • Direct secure messaging: rroman@edc1169.srs-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1033630454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ELM ST UNIT 708",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012517",
            "telephone_number": "732-664-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SHEEP DAVIS RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015736",
            "telephone_number": "603-226-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "RACHEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.