Individual provider Active NPI

Suzanne M Rosenberg, OD

  • Optometrist
  • Medfield, MA
National Provider Identifier
1275799223
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4693 Issued in MA
Practice address
6 W Mill St
Medfield Eye Associates
Medfield, MA 02052-1507
Phone
(508) 359-4164
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4693 MA Primary

Addresses

Primary practice location

6 W Mill St
Medfield Eye Associates
Medfield, MA 02052-1507

Mailing address

6W Mill St 1
Medfield, MA 02052-1507
Phone (508) 359-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090122000027 MA Practitioner - Optometry 6608930557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

6 W Mill St
Suite 1
Medfield, MA 02052-1545
Phone (508) 359-4164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4693MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Dec 27, 2022 Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

77 W Main St
Ste 210
Hopkinton, MA 01748
Phone (508) 435-5455

77 W Main St
Hopkinton, MA 01748
Phone (508) 435-5506

6 W Mill St
Ste 1
Medfield, MA 02052
Phone (508) 359-4164

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.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1275799223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6W MILL ST 1",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521507",
            "telephone_number": "508-359-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W MILL ST",
            "address_2": "MEDFIELD EYE ASSOCIATES",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521507",
            "telephone_number": "508-359-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

Verify at the official NPI Registry.