Charles Roseman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6066/T2981 Issued in OH

Practice address

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4140

Phone

(440) 988-4040

Fax

(440) 988-4041

NPI assigned

Jul 7, 2011

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: croseman@clevelandeyeclinic.intellechartdirect.net

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.

• Northern Ohio Eye Consultants Inc

  dba Cleveland Eye Clinic

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  Medicare reassignment NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716
  NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1659668937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46445 TELEGRAPH RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534140",
            "telephone_number": "440-988-4040",
            "fax_number": "440-988-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6066/T2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "croseman@clevelandeyeclinic.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "5700 Cooper Foster Park Rd W",
            "city": "Lorain",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440534140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rooted Willow Counseling, LLC
• Amanda Ropas
• Diamaris Rosario
• Aimee Roscoe, LSW, LCDC II
• Diane Marie Rose, R.N.
• David Anthony Rositano, D.D.S.
• Charles Ross, PHD
• Marvin Lee Ross
• Niki Taylor Roush
• Allison Nicole Routhier, OTR/L

• Optometrist in Lorain, OH
• Providers in Lorain, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.