Active NPI
Shannon L Rosenswie, OD
- Optometrist
- Springville, NY
National Provider Identifier
1669452009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV-006423-1
- Practice address
- 25 E Main St
Springville, NY 14141-1244 - Phone
- (716) 592-3322
- Fax
- (716) 592-3311
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV-006423-1 | NY | Primary |
Addresses
Primary practice location
25 E Main St
Springville, NY 14141-1244
Mailing address
25 E Main St
Springville, NY 14141-1244
Phone (716) 592-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV-006423-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Council Opticians of West Seneca | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1669452009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E MAIN ST",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411244",
"telephone_number": "716-592-3322",
"fax_number": "716-592-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E MAIN ST",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411244",
"telephone_number": "716-592-3322",
"fax_number": "716-592-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSWIE",
"first_name": "SHANNON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV-006423-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.