Organization Active NPI

Rosenthal Optometric Association LTD

  • Optometrist
  • Highland, IL
National Provider Identifier
1386670099
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROSENTHAL OPTOMETRIC ASSOCIATION LTD
Practice address
823 9TH St
Highland, IL 62249-1521
Phone
(618) 654-9848
Fax
(618) 654-5200
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dr. Kimberly Rosenthal Tinge, O. D.NPI 1508893264
Title
Doctor
Phone
(618) 654-9848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X 046008913 IL

Addresses

Primary practice location

823 9TH St
Highland, IL 62249-1521

Mailing address

823 9TH St
Highland, IL 62249-1521
Phone (618) 654-9848

Other identifiers 1

IdentifierTypeStateIssuer
046008913MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040908000297 IL Part B Supplier - Clinic/Group Practice 7416923842 Receives reassigned benefits from 2 practitioners
Practice locations: Highland, IL
O20100930100709 IL DME Supplier - Physician - OptometristDME Supplier - Optician 7416923842 Practice locations: Highland, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rosenthal Optometric Association LT823 9TH St, Highland, IL 62249-1521(618) 654-9848 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1386670099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 9TH ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491521",
            "telephone_number": "618-654-9848",
            "fax_number": "618-654-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 9TH ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491521",
            "telephone_number": "618-654-9848",
            "fax_number": "618-654-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENTHAL OPTOMETRIC ASSOCIATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "TINGE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROSENTHAL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-654-9848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046008913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008913",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.