Individual provider Active NPI

Sheri Lyn Roggy, OD

  • Optometrist
  • Iowa City, IA
National Provider Identifier
1457324477
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02114 Issued in IA
Practice address
1060 William St
Iowa City, IA 52240-6625
Phone
(319) 338-9275
Fax
(319) 338-2499
NPI assigned
Feb 9, 2006
Last updated
May 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02114 IA Primary

Addresses

Primary practice location

1060 William St
Iowa City, IA 52240-6625

Mailing address

1060 William St
Iowa City, IA 52240-6625
Phone (319) 338-9275

Other identifiers 2

IdentifierTypeStateIssuer
0174045MedicaidIA
410037808OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100825000653 IA Practitioner - Optometry 7012031263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Roggy Vision Center, PLLCGroup PAC ID 2264796895, 2 clinicians

Practice addresses (Care Compare)

708 5TH St
Suite 1
Coralville, IA 52241-2339
Phone (319) 338-4333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02114IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roggy Vision Center, PLLC Optometrist CurrentSince Dec 12, 2021 Accepting new patients
Roggy Eye Clinic, LLC Optometrist CurrentSince Mar 24, 2018 Accepting new patients

Locations

708 5th St
Ste 1
Iowa City, IA 52241
Phone (319) 338-4333

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, 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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1457324477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-338-9275",
            "fax_number": "319-338-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-338-9275",
            "fax_number": "319-338-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGY",
        "first_name": "SHERI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174045",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410037808",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.