Individual provider Active NPI

Jodi Lynn Rowson, O.D.

  • Optometrist
  • North Olmsted, OH
National Provider Identifier
1700804705
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4227 - T225 Issued in OH
Practice address
652 Great Northern Mall
North Olmsted, OH 44070-3306
Phone
(440) 734-5037
Fax
(440) 734-0527
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4227 - T225 OH Primary

Addresses

Primary practice location

652 Great Northern Mall
North Olmsted, OH 44070-3306

Mailing address

652 Great Northern Mall
North Olmsted, OH 44070-3306
Phone (440) 734-5037

Other practice location 1

4762 Ridge Rd
Brooklyn, OH 44144-3327
Phone (216) 351-5300

Other identifiers 1

IdentifierTypeStateIssuer
2382425MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031201000334 OH Practitioner - Optometry 3779496799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jodi L Rowson and Associates IncGroup PAC ID 3072426097, 5 clinicians

Practice addresses (Care Compare)

652 Great Northern Mall
North Olmsted, OH 44070-3306
Phone (440) 734-5037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4227 - T225OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi L Rowson and Associates Inc Optometrist CurrentSince Jun 18, 2013 Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

4762 Ridge Rd
Cleveland, OH 44144
Phone (216) 351-5300

652 Great Northern Mall
North Olmsted, OH 44070
Phone (440) 734-4896

7972 Day Dr
Parma, OH 44129
Phone (440) 885-1529

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1700804705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703306",
            "telephone_number": "440-734-5037",
            "fax_number": "440-734-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703306",
            "telephone_number": "440-734-5037",
            "fax_number": "440-734-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4762 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443327",
            "country_code": "US",
            "telephone_number": "216-351-5300",
            "fax_number": "216-351-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWSON",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4227 - T225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.