Individual provider Active NPI

Robin L Rosengarten, O.D.

  • Optometrist
  • Newark, OH
National Provider Identifier
1568597367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5152 Issued in OH
Practice address
771 S 30TH St
Newark, OH 43056-4200
Phone
(740) 522-2760
Fax
(740) 522-3875
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5152 OH Primary
Optometrist 152W00000X T2051 OH

Addresses

Primary practice location

771 S 30TH St
Newark, OH 43056-4200

Mailing address

771 S 30TH St
Newark, OH 43056-4200
Phone (740) 522-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150819009334 OH Order and Referring Only - OptometryPractitioner - Optometry 6103131172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5152OHMDOptometrist
T2051OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568597367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 S 30TH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430564200",
            "telephone_number": "740-522-2760",
            "fax_number": "740-522-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 S 30TH ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430564200",
            "telephone_number": "740-522-2760",
            "fax_number": "740-522-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGARTEN",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5152",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.