Individual provider Active NPI

Richard L Rosen, OD

  • Optometrist
  • Monroeville, PA
National Provider Identifier
1376544031
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001089 Issued in PA
Practice address
2571 Mosside Blvd
Monroeville, PA 15146-3510
Phone
(412) 856-8811
Fax
(412) 856-4481
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001089 PA Primary

Addresses

Primary practice location

2571 Mosside Blvd
Monroeville, PA 15146-3510

Mailing address

2571 Mosside Blvd
Monroeville, PA 15146-3510
Phone (412) 856-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101119000688 PA Practitioner - Optometry 9537355219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Ophthalmic Associates, Inc.Group PAC ID 0648218891, 5 clinicians

Practice addresses (Care Compare)

2571 Mosside Blvd
Monroeville, PA 15146-3576

Merit-based Incentive Payment System (MIPS)

Final score
77.34 of 100Reported as group
Quality
60.15
Improvement activities
40
Cost
77.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Ophthalmic Associates, Inc. CurrentSince Apr 18, 1980 Accepting new patients
Allegheny Dermatology Associates PC Past Accepting new patients

Locations

2571 Mosside Blvd
Ste 1
Monroeville, PA 15146
Phone (412) 372-2770

2545 Mosside Blvd
Monroeville, PA 15146
Phone (412) 373-8710

2571 Mosside Blvd
Monroeville, PA 15146
Phone (412) 856-8811

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1376544031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463510",
            "telephone_number": "412-856-8811",
            "fax_number": "412-856-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463510",
            "telephone_number": "412-856-8811",
            "fax_number": "412-856-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.