Individual provider Active NPI

Cynthia Jean Roles, O.D.

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1760402267
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
695 Issued in ND
Practice address
3119 N 14TH St
Bismarck, ND 58503-0664
Phone
(701) 222-3937
Fax
(701) 222-8805
NPI assigned
Jul 20, 2006
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 695 ND Primary

Addresses

Primary practice location

3119 N 14TH St
Bismarck, ND 58503-0664

Mailing address

200 S 5TH St
Bismarck, ND 58504-5675
Phone (012) 223-9377

Other practice location 1

200 S 5th St
Bismarck, ND 58504-5675
Phone (012) 223-9377

Other practice location 2

114 N Broadway St Ste 1
Linton, ND 58552-7017
Phone (701) 254-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20120321000525 ND Practitioner - Optometry 9830359306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Eye Institute PCGroup PAC ID 2062404205, 15 clinicians

Practice addresses (Care Compare)

3119 N 14TH St
Bismarck, ND 58503-0664
Phone (701) 222-3937

Merit-based Incentive Payment System (MIPS)

Final score
82.05 of 100Reported as group
Quality
92.92
Promoting interoperability
100
Improvement activities
40
Cost
47.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
695NDMDDietary Manager

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Eye Institute PC Optometrist CurrentSince Jul 12, 2021 Accepting new patients

Locations

200 S 5th St
Bismarck, ND 58504
Phone (701) 222-3937

3119 N 14th St
Bismarck, ND 58503
Phone (701) 222-3937

114 N Broadway St
Ste 1
Linton, ND 58552
Phone (701) 254-4450

Interoperability endpoints

  • Direct secure messaging: croles@dakotaeye.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1760402267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045675",
            "telephone_number": "012-223-9377",
            "fax_number": "701-222-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 N 14TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030664",
            "telephone_number": "701-222-3937",
            "fax_number": "701-222-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045675",
            "country_code": "US",
            "telephone_number": "012-223-9377",
            "fax_number": "701-222-8805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 N Broadway St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "ND",
            "postal_code": "585527017",
            "country_code": "US",
            "telephone_number": "701-254-4450",
            "fax_number": "701-254-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLES",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.