Active NPI
Rosalie Reszelbach, O.D.
- Corneal and Contact Management Optometrist
- West Roxbury, MA
National Provider Identifier
1720152291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3283
- Practice address
- 2034 Centre St
West Roxbury, MA 02132-3326 - Phone
- (617) 469-8733
- Fax
- (617) 327-0177
- NPI assigned
- Nov 17, 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3283 | MA | Primary |
Addresses
Primary practice location
2034 Centre St
West Roxbury, MA 02132-3326
Mailing address
31 Van Wart Path
Newton Center, MA 02459-3720
Phone (617) 964-8984
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 |
|---|---|---|---|
| 3283 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I.C.U. Inc. | Past | Accepting new patients | |
| Ji Eye Care LLC | Past | Accepting new patients | |
| Pro Vision Care LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optician
- W Roxbury, MA
- NPI 1124219324
-
- Optometrist
- West Roxbury, MA
- NPI 1356697213
-
- Optometrist
- West Roxbury, MA
- NPI 1841663374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720152291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 VAN WART PATH",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024593720",
"telephone_number": "617-964-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 CENTRE ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021323326",
"telephone_number": "617-469-8733",
"fax_number": "617-327-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESZELBACH",
"first_name": "ROSALIE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "3283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.