Individual provider Active NPI

Vanessa J. Rozell, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1477607018
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2108 Issued in OK
Practice address
4107 S Yale Ave
Ste El 147
Tulsa, OK 74135-6015
Phone
(918) 627-1556
Fax
(918) 624-1064
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2108 OK Primary

Addresses

Primary practice location

4107 S Yale Ave
Ste El 147
Tulsa, OK 74135-6015

Mailing address

4107 S Yale Ave
Ste El 147
Tulsa, OK 74135-6015
Phone (918) 627-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220323000018 OK Practitioner - Optometry 0547655862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Nick Martin Eye Care Center Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Perini Eyecare, PLLC Optometrist PastSince Dec 23, 2016 Accepting new patients

Locations

7021 S Memorial Dr
Ste 248
Tulsa, OK 74133
Phone (918) 250-1050

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477607018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 S YALE AVE",
            "address_2": "STE EL 147",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356015",
            "telephone_number": "918-627-1556",
            "fax_number": "918-624-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 S YALE AVE",
            "address_2": "STE EL 147",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356015",
            "telephone_number": "918-627-1556",
            "fax_number": "918-624-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "VANESSA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.