Trudy L Rohm, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601001210 Issued in VA

Practice address

1114 Emmet St N Ste D
Charlottesville, VA 22903-4841

Phone

(434) 971-2020

Fax

(434) 295-1351

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen T Basic III OD and Associates PLLCGroup PAC ID 4082868989, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stephen T Basic III OD and Associates PLLC

  • Optometrist
  • Charlottesville, VA
  • NPI 1447504519
  Medicare reassignment Care Compare group NPD
• Dr. Trudy L. Rohm & Associates Optometrists PLC

  • Optometrist
  • Charlottesville, VA
  • NPI 1871790477
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1326193210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 OLD BROOK RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011265",
            "telephone_number": "434-973-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 EMMET ST N STE D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034841",
            "telephone_number": "434-971-2020",
            "fax_number": "434-295-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHM",
        "first_name": "TRUDY",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009206060",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "106329",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly R Rogers, MSW, LCSW
• Nicole M Rogers, MS/SLP
• Alan D. Rogol
• Shim Roh, MD
• Kiera Renee Rohan, OTR/L
• Nelly Carolina Rojas Salvador, MD
• Carola V Rojas
• Karen Knop Roland, DPT
• Michael Fitzgerald Rolen, MD
• Nathaniel Wheeler Rolfe

• Optometrist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.