Organization Active NPI

Dr. Rosenak's Optical Options, Inc.

  • Eyewear Supplier
  • Saint Joseph, MO
National Provider Identifier
1063571271
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
T02736 Issued in MO
Legal business name
DR. ROSENAK'S OPTICAL OPTIONS, INC.
Practice address
2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Phone
(816) 671-0500
Fax
(816) 671-0600
NPI assigned
Dec 6, 2006
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Steven Weber Rosenak, ODNPI 1841372166
Title
Optometrist Owner
Phone
(816) 671-0500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X T02736 MO Primary

Addresses

Primary practice location

2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481

Mailing address

2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Phone (816) 671-0500

Other identifiers 2

IdentifierTypeStateIssuer
410024941OtherMORAILROAD PTAN
0000568OtherMOPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000130 MO Part B Supplier - Clinic/Group Practice 7416078522 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Joseph, MO

National Provider Directory

National Provider Directory

Locations

2229 N Belt Hwy
Ste A
Saint Joseph, MO 64506
Phone (816) 671-0500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1063571271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 N BELT HWY STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062481",
            "telephone_number": "816-671-0500",
            "fax_number": "816-671-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 N BELT HWY STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062481",
            "telephone_number": "816-671-0500",
            "fax_number": "816-671-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROSENAK'S OPTICAL OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "ROSENAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WEBER",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "816-671-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "T02736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "410024941",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0000568",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.