Active NPI
Ashley Susan Raub, OD
- Optometrist
- Jupiter, FL
National Provider Identifier
1740929082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6067
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6067 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel and Max | Optometrist | Current | 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.