John Gilliland Rosten, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6335T Issued in CA

Practice address

125 N Lincoln St
Suite a
Dixon, CA 95620-3258

Phone

(707) 678-3055

Fax

(707) 678-9265

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dixon Eyecare Associates an Optometric CorporationGroup PAC ID 6901986900, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dixon Eyecare Associates an Optometric Corporation

  • Optometrist
  • Dixon, CA
  • NPI 1548313901
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1174603997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N LINCOLN ST",
            "address_2": "SUITE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203258",
            "telephone_number": "707-678-3055",
            "fax_number": "707-678-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N LINCOLN ST",
            "address_2": "SUITE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203258",
            "telephone_number": "707-678-3055",
            "fax_number": "707-678-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTEN",
        "first_name": "JOHN",
        "middle_name": "GILLILAND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6335T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES INC.",
            "identifier": "13073",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0063350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Lisette Ramirez
• Rebecca Nicole Redman
• Reza Rajabian, DDS, a Professional Corporation
• Laura Robertson, CPT
• Charlene Atimama Ronquillo, RN
• S. Todd Comm, D.D.S., Inc.
• Safeway Inc (Safeway Pharmacy #1258)
• Yitsein Salazar
• Maria Sanchez
• Christian Sanders

• Optometrist in Dixon, CA
• Providers in Dixon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.

Verify at the official NPI Registry.