Elizabeth Jane Roush, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003647A Issued in IN

Practice address

781 E North St
Kendallville, IN 46755-1225

Phone

(260) 347-3458

Fax

(260) 347-4425

NPI assigned

Jul 2, 2010

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 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Roush and Will Optometrists IncGroup PAC ID 9830165026, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@drsroushwilloptometristkendallvillein.compulinkdirect.com

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.

• DRS. Roush & Will Optometrists Inc

  • Optometrist
  • Kendallville, IN
  • NPI 1578613295

  IN, Optometrist

  Medicare reassignment Care Compare group NPD
• DRS. Roush & Will Optometrists Inc

  • Eyewear Supplier
  • Albion, IN
  • NPI 1730451279

  Optometrist

  Care Compare group NPD
• DRS. Roush & Will Optometrists, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kendallville, IN
  • NPI 1275656209
  Care Compare group

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1336451640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 E NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551225",
            "telephone_number": "260-347-3458",
            "fax_number": "260-347-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 E NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551225",
            "telephone_number": "260-347-3458",
            "fax_number": "260-347-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003647A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200989580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Richards
• Jessica Ritter
• Kaylie Rodesiler
• Kelly Roe
• Emiley M Rogers-Bly, LMHC
• Robert Alan Roush, O.D.
• RX Optical Laboratories, Inc.
• Rebeca Sanchez, RBT
• Julie Sappenfield, RPH
• Theodore Stephen Sauer Jr., M.D.

• All providers in Kendallville, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.