Individual provider Active NPI

Spencer Cohen Rosenak

  • Optometrist
  • Saint Joseph, MO
National Provider Identifier
1346084811
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025022437 Issued in MO
Practice address
2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Phone
(816) 671-0500
NPI assigned
Jun 20, 2024
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 2025022437 MO Primary

Addresses

Primary practice location

2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481

Mailing address

2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Phone (816) 671-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250715000294 MO Practitioner - Optometry 3971018326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rosenak's Optical Options, Inc. CurrentSince Jun 23, 2025 Accepting new patients

Locations

2229 N Belt Hwy
Ste A
Saint Joseph, MO 64506
Phone (816) 671-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1346084811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 N BELT HWY STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062481",
            "telephone_number": "816-671-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 N BELT HWY STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062481",
            "telephone_number": "816-671-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENAK",
        "first_name": "SPENCER",
        "middle_name": "COHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2025022437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.