Alton S Rossman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2855 ATI Issued in OR

Practice address

1594 Edgewater Street NW- Ste 190
Salem, OR 97304-4656

Phone

(503) 779-2119

Fax

(503) 779-1195

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

Medicare fee-for-service enrollment

Enrolled in OR, AZ2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

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.

• Eyecare Associates PC

  • Ophthalmology Physician
  • Albany, OR
  • NPI 1013964113

  Optometrist

  Medicare reassignment Care Compare group NPD
• Pacific University

  • Optometrist
  • Hillsboro, OR
  • NPI 1306954011
  Medicare reassignment Care Compare group NPD
• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187
  Medicare reassignment Care Compare group
• Pacific University

  • Optometrist
  • Forest Grove, OR
  • NPI 1689782393
  NPD
• Pacific University

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1912377193
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1568569457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILLAMETTE STREET #17",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014049",
            "telephone_number": "541-762-2763",
            "fax_number": "541-434-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 EDGEWATER STREET NW- STE 190",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044656",
            "telephone_number": "503-779-2119",
            "fax_number": "503-779-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "ALTON",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2855 ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ross
• Kristine Ross, B.ED.
• Margaret Fawn Ross, ARNP
• Matthew Ross, DMD
• Sierra Ross, PSS
• Matthew Ray Rossow, RN, BSN
• Melinda Rossow
• Emily Rochelle Rosumny, QMHP
• Daniel Lewis Roth, M.D
• Mary Roth

• Optometrist in Salem, OR
• Providers in Salem, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.

Verify at the official NPI Registry.