Dean Alan Rosenberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2220TPA Issued in WI

Practice address

217 6TH St
Racine, WI 53403-1213

Phone

(262) 634-4430

Fax

(262) 634-1890

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Wisconsin LLCGroup PAC ID 5890033716, 27 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.

• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • Kenosha, WI
  • NPI 1164992996
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • West Allis, WI
  • NPI 1710632864
  NPD

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1679558282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031213",
            "telephone_number": "262-634-4430",
            "fax_number": "262-634-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031213",
            "telephone_number": "262-634-4430",
            "fax_number": "262-634-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DEAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2220TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38574400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "P00435918",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD MEDICARE PIN",
            "identifier": "391951110",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rondi J Rork PHD LLC
• Roots Residential Adult Family Home LLC
• Roots Residential Adult Family Homes LLC
• Rondi J Rork, PH.D.
• Susan K Rosenbaum, PT
• Daniel B. Ross, M.D.
• Jennifer L Rossmann, MS, LPC-IT
• Kelli Nicole Rossmann, PTA
• Klea Rota, DDS
• Kathleen R Rothmeyer, MSW,CADC III, LCSW

• Optometrist in Racine, WI
• Providers in Racine, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.
• 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.