Individual provider Active NPI

Ashley Susan Raub, OD

  • Optometrist
  • Jupiter, FL
National Provider Identifier
1740929082
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6067 Issued in FL
Practice address
903 West Indiantown Road
Suite 105
Jupiter, FL 33458-6850
Phone
(561) 295-8654
Fax
(561) 828-8367
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6067 FL Primary

Addresses

Primary practice location

903 West Indiantown Road
Suite 105
Jupiter, FL 33458-6850

Mailing address

500 North Old Dixie Highway
Unit 2
Jupiter, FL 33458-4969
Phone (305) 484-4111

Other names 1

  • Ashley Rossbach Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPC6067FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel and Max Optometrist CurrentSince Feb 12, 2023 Accepting new patients

Locations

903 W Indiantown Rd
Ste 105
Jupiter, FL 33458
Phone (561) 295-8654

Organizations & group practices 1

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": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1740929082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NORTH OLD DIXIE HIGHWAY",
            "address_2": "UNIT 2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584969",
            "telephone_number": "305-484-4111",
            "fax_number": "561-354-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WEST INDIANTOWN ROAD",
            "address_2": "SUITE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586850",
            "telephone_number": "561-295-8654",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUB",
        "first_name": "ASHLEY",
        "middle_name": "SUSAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ROSSBACH",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.