Active NPI
Miriam Michelle Rolf, OD
- Optometrist
- New Windsor, NY
National Provider Identifier
1225012479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0056681
- Practice address
- 140 Executive Drive
Suite 300
New Windsor, NY 12553 - Phone
- (845) 562-0138
- Fax
- (845) 562-0147
- NPI assigned
- Dec 1, 2005
- 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 | TUV0056681 | NY | Primary |
Addresses
Primary practice location
140 Executive Drive
Suite 300
New Windsor, NY 12553
Mailing address
140 Exective Drive
Suite 300
New Windsor, NY 12553
Phone (845) 562-0138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20160516002388 | NY | Order and Referring Only - Optometry | 5799700373 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV0056681 | NY | MD | Optometrist |
| 005668 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Eye Doctor of Optometry PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Newburgh, NY
- NPI 1083044143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1225012479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 EXECTIVE DRIVE",
"address_2": "SUITE 300",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "12553",
"telephone_number": "845-562-0138",
"fax_number": "845-562-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 EXECUTIVE DRIVE",
"address_2": "SUITE 300",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "12553",
"telephone_number": "845-562-0138",
"fax_number": "845-562-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLF",
"first_name": "MIRIAM",
"middle_name": "MICHELLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0056681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.