Individual provider Active NPI

Jennifer Roman, O.D.

  • Optometrist
  • Ocala, FL
National Provider Identifier
1295110435
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5061 Issued in FL
Practice address
9570 SW Highway 200
Ocala, FL 34481
Phone
(407) 301-1614
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5061 FL Primary

Addresses

Primary practice location

9570 SW Highway 200
Ocala, FL 34481

Mailing address

PO Box 772126
Ocala, FL 34477-2126
Phone (352) 291-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170103000450 FL Practitioner - Optometry 0941581185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9570 SW Hwy 200
Ocala, FL 34481-7720
Phone (352) 291-1882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5061FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roman Eyecare, LLC Optometrist CurrentSince Jun 9, 2016 Accepting new patients

Locations

11012 N Williams St
Dunnellon, FL 34432
Phone (352) 465-0024

9570 SW Highway 200
Ocala, FL 34481
Phone (352) 291-1882

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1295110435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772126",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344772126",
            "telephone_number": "352-291-1882",
            "fax_number": "352-291-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34481",
            "telephone_number": "407-301-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.