Lee U De Rosa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT623 Issued in ME

Practice address

633 Main St
Lewiston, ME 04240-5938

Phone

(207) 783-8243

Fax

(207) 783-0021

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

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

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 and National Provider Directory roles.

• Chamberland & Cote Eye Care, P.a., LLC

  • Optometrist
  • Lewiston, ME
  • NPI 1427157007
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1568560811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405938",
            "telephone_number": "207-783-8243",
            "fax_number": "207-783-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405938",
            "telephone_number": "207-783-8243",
            "fax_number": "207-783-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROSA",
        "first_name": "LEE",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "048845",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5536080001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125060099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Davis, LCSW
• Peter M Davis, DMD
• Rachel Davis, LADC; CCS; LMSW
• Katherine Jeniffer Dawkins, PMHNP
• Holly Day
• Kristin Michelle Dean, M.D.
• Tanya Deanis
• Decent Home Care, Inc.
• Lisa M Decesare, NP
• Sherry N Decker, CRNA

• Optometrist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.