Nicole Agnes Rosa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6414 Issued in FL

Practice address

3615 S Florida Ave Ste 460
Lakeland, FL 33803-4871

Phone

(863) 940-2091

NPI assigned

Feb 1, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• America'S Best Contacts & Eyeglasses

  • Optician
  • Lakeland, FL
  • NPI 1770986523
  NPD (past)
• National Vision Inc

  • Optometrist
  • Valrico, FL
  • NPI 1023770922
  NPD (past)
• National Vision, Inc.

  • Optician
  • Brandon, FL
  • NPI 1114304326
  NPD (past)

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1629831771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 STONECREST DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132479",
            "telephone_number": "813-486-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 460",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034871",
            "telephone_number": "863-940-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11391 Causeway Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335112904",
            "country_code": "US",
            "telephone_number": "813-413-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2014 E State Road 60",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335943605",
            "country_code": "US",
            "telephone_number": "813-413-3207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 Lakeland Park Center Dr Unit 314",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338093841",
            "country_code": "US",
            "telephone_number": "863-859-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "NICOLE",
        "middle_name": "AGNES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Phillip Romeo, PT, DPT, CSCS
• Carlos M Romero, M.D.
• Yunaisy Romero
• Jose Antonio Romeu Torres, MD
• Paul M Romine, DC
• Felix G. Rosado-Ramos, M.D.
• Nathalie Rosado
• Rosa I Rosario Ortiz, CNA/MED TECHNICIAN
• Ashlyn M Rosario
• Lizvel Rosario, M.A.

• Optometrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.