Elena Rosen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT0056811 Issued in NY

Practice address

200 West 24TH Street
Maximeyes Optical
Ny, NY 10011

Phone

(212) 929-3693

Fax

(212) 929-1620

NPI assigned

Apr 12, 2006

Last updated

Aug 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

State University of New York - State College Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Syosset Optometric Group,PLLCGroup PAC ID 8123389392, 2 clinicians

Maximeyes Optical IncGroup PAC ID 3375809031, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maximeyes Optical Inc.

  • Optometrist
  • New York, NY
  • NPI 1245760719
  Medicare reassignment Care Compare group NPD Authorized official
• Syosset Optometric Group,PLLC

  • Optometrist
  • Syosset, NY
  • NPI 1699287722
  Medicare reassignment Care Compare group NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  NPD (past)
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1407810153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-367-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST 24TH STREET",
            "address_2": "MAXIMEYES OPTICAL",
            "city": "NY",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-929-3693",
            "fax_number": "212-929-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0056811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fior Beneny Rodriguez, DDS
• Stephanie Roesser, RN
• Denise Joan Rohan, RN
• Sandie Romain, ANP
• Judith Elaine Roper
• Iman Sadri, DDS
• Andrew A Sama, MD
• Samaritan Daytop Village
• Samaritan Daytop Village
• Maisha Samuel, MS ECE, MS TSWD,TEFL

• Optometrist in Ny, NY
• Providers in Ny, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.