Active NPI
Keisha Roden, O.D
- Optometrist
- New Rochelle, NY
National Provider Identifier
1477962850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008197
- Practice address
- 209 North Ave
New Rochelle, NY 10801 - Phone
- (914) 303-6779
- Fax
- (914) 303-6339
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 008197 | NY | Primary |
Addresses
Primary practice location
209 North Ave
New Rochelle, NY 10801
Mailing address
209 North Ave
New Rochelle, NY 10801
Phone (914) 303-6779
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
209 N Ave
New Rochelle, NY 10801-6401
Phone (914) 303-6779
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008197 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes Optometrist PC | Optometrist | Current | Accepting new patients |
| Bay Plaza Eyecare, LLC | Past | Accepting new patients |
Locations
209 North Ave
New Rochelle, NY 10801
Phone (914) 303-6779
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": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1477962850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-303-6779",
"fax_number": "914-303-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "10801",
"telephone_number": "914-303-6779",
"fax_number": "914-303-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEN",
"first_name": "KEISHA",
"name_prefix": "Ms.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2025-04-08",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.