Active NPI
Ann Marie Roush, O.D.
- Optometrist
- Grapevine, TX
National Provider Identifier
1467495010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6026T
- Practice address
- 314 S Park Blvd
Grapevine, TX 76051-7835 - Phone
- (817) 488-4893
- Fax
- (817) 488-5939
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6026T | TX | Primary |
Addresses
Primary practice location
314 S Park Blvd
Grapevine, TX 76051-7835
Mailing address
PO Box 93389
Southlake, TX 76092-0113
Phone (817) 416-4371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6026T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467495010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93389",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760920113",
"telephone_number": "817-416-4371",
"fax_number": "817-488-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S PARK BLVD",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760517835",
"telephone_number": "817-488-4893",
"fax_number": "817-488-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6026T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.