Individual provider Active NPI

Sonia Joshi Rose, O.D.

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1245261692
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001502 Issued in VA
Practice address
12100 Kennedy Lane
Suite 206
Fredericksburg, VA 22407
Phone
(540) 785-3937
Fax
(540) 785-5498
NPI assigned
Jul 5, 2006
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001502 VA Primary

Addresses

Primary practice location

12100 Kennedy Lane
Suite 206
Fredericksburg, VA 22407

Mailing address

12100 Kennedy Lane
Suite 206
Fredericksburg, VA 22407
Phone (540) 785-3937

Other identifiers 1

IdentifierTypeStateIssuer
101258324MedicaidVA

Other names 1

  • Sonia Joshi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20061108000479 VA Practitioner - Optometry 7012914849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah P Brannon OD PCGroup PAC ID 5597715490, 2 clinicians

Practice addresses (Care Compare)

12100 Kennedy LN
Suite 206
Fredericksburg, VA 22407-6760
Phone (540) 785-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah P. Brannon OD PC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
David M Harman MD LLC Optometrist PastSince Jan 1, 2022 Accepting new patients
E. Michael Howlette,OD and Assoc. P. C. Optometrist Past Accepting new patients

Locations

12100 Kennedy Ln
Ste 206
Fredericksburg, VA 22407
Phone (540) 785-3937

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1245261692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 KENNEDY LANE",
            "address_2": "SUITE 206",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-785-3937",
            "fax_number": "540-785-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 KENNEDY LANE",
            "address_2": "SUITE 206",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-785-3937",
            "fax_number": "540-785-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SONIA",
        "middle_name": "JOSHI",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101258324",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "JOSHI",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.