NPIMap

Individual provider Active NPI

Sharon M Rovenstine, O.D.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1063675528
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010067 Issued in IL
Practice address
2555 W 75TH St Ste 119
Naperville, IL 60540-9446
Phone
(630) 225-7020
Fax
(630) 995-9772
NPI assigned
Jul 4, 2008
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010067 IL Primary
Corneal and Contact Management Optometrist 152WC0802X 046.010067 IL
Pediatric Optometrist 152WP0200X 046.010067 IL

Addresses

Primary practice location

2555 W 75TH St Ste 119
Naperville, IL 60540-9446

Mailing address

4050 Healthway Dr
Suite 100
Aurora, IL 60504-8183
Phone (630) 820-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010067ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr S Rovenstine Optometrist PC Optometrist Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sharon.rovenstine@direct.revolutionehr.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1063675528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-820-1303",
            "fax_number": "630-820-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 W 75TH ST STE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409446",
            "telephone_number": "630-225-7020",
            "fax_number": "630-995-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVENSTINE",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-04",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010067",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046.010067",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046.010067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.