Individual provider Active NPI

Dana Sue Rozell, O.D.

  • Optometrist
  • Collinsville, IL
National Provider Identifier
1144604604
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010916 Issued in IL
Practice address
601 Belt Line Rd
Collinsville, IL 62234-4400
Phone
(618) 580-3591
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010916 IL Primary

Addresses

Primary practice location

601 Belt Line Rd
Collinsville, IL 62234-4400

Mailing address

601 Belt Line Rd
Collinsville, IL 62234-4400
Phone (618) 580-3591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150924001376 IL Practitioner - Optometry 4688982697 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010916ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Illinois, P.C. Optometrist CurrentSince Mar 29, 2017 Accepting new patients
JFJ Eyecare, LTD Optometrist CurrentSince Sep 14, 2020 Accepting new patients
Clarkson Optometry Illinois, P.C. Optometrist CurrentSince Mar 29, 2017 Accepting new patients
JFJ Eyecare LTD Optometrist CurrentSince Sep 14, 2020 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients
Clarkson Optometry Illinois PC Optometrist Past Accepting new patients

Locations

408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531

601 Belt Line Rd
Collinsville, IL 62234
Phone (618) 223-5212

1025 Columbia Centre
Columbia, IL 62236
Phone (618) 281-8611

6663 Edwardsville Crossing Dr
Edwardsville, IL 62025
Phone (618) 659-2320

10 Lincoln Hwy
Ste 101
Fairview Hts, IL 62208
Phone (618) 624-0222

1310 Dadrian Professional Park
Godfrey, IL 62035
Phone (618) 433-5005

3405 Nameoki Rd
Ste A
Granite City, IL 62040
Phone (618) 219-8909

3248 Green Mount Crossing Dr
Shiloh, IL 62269
Phone (618) 622-9225

2645 N Illinois St
Swansea, IL 62226
Phone (618) 767-5100

3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Illinois, PC 16 clinicians

Practice addresses (Care Compare)

3405 Nameoki Rd a
Clarkson Eyecare
Granite City, IL 62040-3709
Phone (618) 219-8909

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1144604604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BELT LINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344400",
            "telephone_number": "618-580-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BELT LINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344400",
            "telephone_number": "618-580-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "DANA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.