Active NPI
Dana Sue Rozell, O.D.
- Optometrist
- Collinsville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.010916
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924001376 | IL | Practitioner - Optometry | 4688982697 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.010916 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| JFJ Eyecare, LTD | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Illinois, P.C. | Optometrist | Current | Accepting new patients |
| JFJ Eyecare LTD | Optometrist | Current | 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.
-
- Optometrist
- Belleville, IL
- NPI 1124214051
-
- Optometrist
- Centralia, IL
- NPI 1730373648
-
- Optometrist
- Swansea, IL
- NPI 1295778587
-
- Optometrist
- Shiloh, IL
- NPI 1457303125
-
- Optometrist
- Eureka, MO
- NPI 1205817731
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
Practice addresses (Care Compare)
3405 Nameoki Rd a
Clarkson Eyecare
Granite City, IL 62040-3709
Phone (618) 219-8909
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.