NPIMap

Organization Active NPI

Rosen Optometry Associates Inc

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1215903240
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MO2404 Issued in MO
Legal business name
ROSEN OPTOMETRY ASSOCIATES INC
Practice address
415 S County Center Way
Saint Louis, MO 63129-1014
Phone
(314) 416-1399
Fax
(314) 416-0753
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Steven E Rosen, ODNPI 1619951274
Title
President
Phone
(314) 416-1399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MO2404 MO Primary

Addresses

Primary practice location

415 S County Center Way
Saint Louis, MO 63129-1014

Mailing address

415 S County Center Way
Saint Louis, MO 63129-1014
Phone (314) 416-1399

Other identifiers 2

IdentifierTypeStateIssuer
507407906MedicaidMO
CS9335OtherMOMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

415 S County Center Way
Saint Louis, MO 63129
Phone (314) 416-1399

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1215903240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S COUNTY CENTER WAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291014",
            "telephone_number": "314-416-1399",
            "fax_number": "314-416-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S COUNTY CENTER WAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291014",
            "telephone_number": "314-416-1399",
            "fax_number": "314-416-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEN OPTOMETRY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-416-1399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "MO2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507407906",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CS9335",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.