Active NPI
Carlene Rosado Martin, O.D. F.A.A.O.
- Optometrist
- Charlottesville, VA
National Provider Identifier
1235196270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001561
- Practice address
- 2159 Barracks Rd
Charlottesville, VA 22903-4812 - Phone
- (434) 977-2020
- Fax
- (434) 977-4842
- NPI assigned
- Apr 26, 2006
- 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 | 0618001561 | VA | Primary |
Addresses
Primary practice location
2159 Barracks Rd
Charlottesville, VA 22903-4812
Mailing address
2159 Barracks Rd
Charlottesville, VA 22903-4812
Phone (434) 977-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 Northstone PL
Fayetteville, NC 28303-5494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
- Fayetteville, NC
- NPI 1073584157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1235196270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2159 BARRACKS RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034812",
"telephone_number": "434-977-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2159 BARRACKS RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034812",
"telephone_number": "434-977-2020",
"fax_number": "434-977-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO MARTIN",
"first_name": "CARLENE",
"name_prefix": "Dr.",
"credential": "O.D. F.A.A.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.