Active NPI
Gwenn H. Rosenthal, O.D.
- Optometrist
- Narberth, PA
National Provider Identifier
1700968666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000852
- Practice address
- 1655 Oakwood Dr
North 223
Narberth, PA 19072-1063 - Phone
- (610) 667-4123
- Fax
- (610) 667-4123
- NPI assigned
- Oct 19, 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 | OEG000852 | PA | Primary |
Addresses
Primary practice location
1655 Oakwood Dr
North 223
Narberth, PA 19072-1063
Mailing address
1655 Oakwood Dr
North 223
Narberth, PA 19072-1020
Phone (610) 667-4123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101210000206 | PA | Practitioner - Optometry | 0840303152 | Practice locations: West Grove, PA; Warrington, PA; Souderton, PA; Sellersville, PA; Penn Valley, PA; Lansdale, PA; Frederick, PA; Doylestown, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000852 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1700968666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 OAKWOOD DR",
"address_2": "NORTH 223",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721020",
"telephone_number": "610-667-4123",
"fax_number": "610-667-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 OAKWOOD DR",
"address_2": "NORTH 223",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190721063",
"telephone_number": "610-667-4123",
"fax_number": "610-667-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "GWENN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.