Rose A Darby, O.D.
Individual provider Active NPI Optometrist · Jasper, GA
NPI 1285870865 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1285870865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT001939 (GA)
- Practice address
- 800 W Church St
Jasper, GA 30143 - Phone
- (706) 692-7510
- NPI assigned
- Jan 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jasper Eye Associates LLC
Practice addresses (Care Compare)
800 W Church St
Jasper, GA 30143-1406
Phone (706) 692-7510
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 61 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170111002840 | GA | Practitioner - Optometry | 4789965435 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 1388 | FL | MD | Optometrist |
| OPT001939 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Eye Associates, LLC | Optometrist | Current |
Accepting new patients |
| Adairsville Eye Associates LLC | Optometrist | Past |
Accepting new patients |
Locations
800 W Church St
Jasper, GA 30143
Phone (706) 692-7510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 1388 | FL | |
| Optometrist |
152W00000X | OPT001939 | GA | Yes |
Addresses
Primary practice location
800 W Church St
Jasper, GA 30143
Mailing address
800 W Church St
Jasper, GA 30143-1406
Phone (904) 254-0492
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.