Individual provider Active NPI

Elaine Monique Ramos Roe, OD

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1780035584
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002404 Issued in AZ
Practice address
5865 W Utopia Rd
Glendale, AZ 85308-5251
Phone
(623) 806-7200
Fax
(623) 806-7210
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 33822 CA
Optometrist 152W00000X OPT-002404 AZ Primary
Vision Therapy Optometrist 152WV0400X TUV008428-1 NY
Vision Therapy Optometrist 152WV0400X 33822 CA

Addresses

Primary practice location

5865 W Utopia Rd
Glendale, AZ 85308-5251

Mailing address

19389 N 59TH Ave
Glendale, AZ 85308-6500
Phone (623) 806-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200326002972 AZ Practitioner - Optometry 9133416340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

13856 W Waddell Rd
103 NW Vision Ctr
Surprise, AZ 85379-3801
Phone (623) 546-9557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33822CAMDPediatric Optometrist
TUV008428-1NYMDVision Therapy Optometrist
008428NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University Optometrist CurrentSince Feb 24, 2020 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Feb 21, 2020 Accepting new patients
Midwestern University Optometrist CurrentSince Feb 24, 2020 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Feb 21, 2020 Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Western University of Health Sciences Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations (25 of 60)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

115 E Williams Field Rd
Gilbert, AZ 85295

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

5865 W Utopia Rd
Glendale, AZ 85308
Phone (623) 806-7200

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

19389 N 59th Ave
Glendale, AZ 85308

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

Interoperability endpoints

  • Direct secure messaging: dr.elaine.ramos@direct.eyecare-partners.com
  • Direct secure messaging: eramos216036@direct.ochin.org
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 8

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1780035584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19389 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086500",
            "telephone_number": "623-806-7200",
            "fax_number": "623-480-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 W UTOPIA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085251",
            "telephone_number": "623-806-7200",
            "fax_number": "623-806-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "ELAINE MONIQUE",
        "middle_name": "RAMOS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "33822",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002404",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV008428-1",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "33822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.