Individual provider Active NPI

Irene Rosenberg, O.D.

  • Optometrist
  • Wilton, CT
National Provider Identifier
1679656581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002195 Issued in CT
Practice address
237 Danbury Rd
Wilton, CT 06897-4062
Phone
(203) 761-9119
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002195 CT Primary

Addresses

Primary practice location

237 Danbury Rd
Wilton, CT 06897-4062

Mailing address

26 Ledgewood Dr
Wilton, CT 06897-2401
Phone (203) 761-9212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110222000024 CT Practitioner - Optometry 9537340724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilton Optometry AssociatesGroup PAC ID 4082056684, 3 clinicians

Practice addresses (Care Compare)

1 Grumman Hill Rd
Wilton, CT 06897-4553
Phone (203) 761-9119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002195CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilton Family Eye Care, LLC Optometrist CurrentSince Aug 21, 2012 Accepting new patients
Wilton Optometry Associates Optometrist CurrentSince Apr 6, 2024 Accepting new patients

Locations

1 Grumman Hill Rd
Wilton, CT 06897
Phone (203) 761-9119

Interoperability endpoints

  • Direct secure messaging: irene.rosenberg@direct.revolutionehr.com

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679656581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LEDGEWOOD DR",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972401",
            "telephone_number": "203-761-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974062",
            "telephone_number": "203-761-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.