Individual provider Active NPI

Ryan Charles Rosemore, O.D.

  • Optometrist
  • Plano, TX
National Provider Identifier
1114151149
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7381TG Issued in TX
Practice address
4637 Hedgcoxe Rd
Suite 108
Plano, TX 75024
Phone
(972) 596-2224
Fax
(972) 596-2229
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7381TG TX Primary

Addresses

Primary practice location

4637 Hedgcoxe Rd
Suite 108
Plano, TX 75024

Mailing address

4637 Hedgcoxe Rd
Suite 108
Plano, TX 75024
Phone (972) 596-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090917000697 TX Practitioner - Optometry 0547314122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosemore Eye Care PAGroup PAC ID 8729132303, 2 clinicians

Practice addresses (Care Compare)

4637 Hedgcoxe Rd
Suite 108
Plano, TX 75024-3963
Phone (972) 596-2224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7381TXMDOrthodontics and Dentofacial Orthopedic Dentist
7381TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosemore Eye Care PA Optometrist CurrentSince Jul 14, 2009 Accepting new patients
Rosemore Eye Care PA Optometrist CurrentSince Sep 1, 2009 Accepting new patients

Locations

4637 Hedgcoxe Rd
Ste 108
Plano, TX 75024
Phone (972) 596-2224

4901 Windhaven Pkwy
Ste 100
The Colony, TX 75056
Phone (972) 596-2224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114151149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 HEDGCOXE RD",
            "address_2": "SUITE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-596-2224",
            "fax_number": "972-596-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 HEDGCOXE RD",
            "address_2": "SUITE 108",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-596-2224",
            "fax_number": "972-596-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMORE",
        "first_name": "RYAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7381TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.