Individual provider Active NPI

Adam Samuel Rosner, OD

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1295533198
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6457 Issued in FL
Practice address
4790 Barkley Cir
Fort Myers, FL 33907-7593
Phone
(239) 402-2416
NPI assigned
Mar 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6457 FL Primary

Addresses

Primary practice location

4790 Barkley Cir
Fort Myers, FL 33907-7593

Mailing address

4790 Barkley Cir
Fort Myers, FL 33907-7593
Phone (239) 402-2416

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
I20250521003295 FL Practitioner - Optometry 2163941253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Florida PAGroup PAC ID 7113056292, 10 clinicians

Practice addresses (Care Compare)

545 Pine Island Rd
North Fort Myers, FL 33903-3764
Phone (239) 766-4342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6457FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Florida PA Optometrist CurrentSince Mar 7, 2025 Accepting new patients
Eye Physicians and Surgeons of Florida PA Optometrist CurrentSince Mar 7, 2025 Accepting new patients

Locations

4790 Barkley Cir
Ste C103
Fort Myers, FL 33907
Phone (239) 936-8686

4790 Barkley Cir
Bldg C
Fort Myers, FL 33907
Phone (239) 936-8686

545 Pine Island Rd
North Ft Myers, FL 33903
Phone (239) 656-3937

Organizations & group practices 2

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1295533198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-402-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-402-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "ADAM",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.