Active NPI
Sara Rosen, OPTICIAN
- Optician
- Tampa, FL
National Provider Identifier
1790230928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO 6627
- Practice address
- 912 Channelside Dr
Suite 2102
Tampa, FL 33602-4229 - Phone
- (813) 906-6737
- NPI assigned
- Aug 17, 2016
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO 6627 | FL | Primary |
Addresses
Primary practice location
912 Channelside Dr
Suite 2102
Tampa, FL 33602-4229
Mailing address
109 N 12TH St
Suite 1105
Tampa, FL 33602-3686
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 |
|---|---|---|---|
| DO 6627 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1790230928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N 12TH ST",
"address_2": "SUITE 1105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 CHANNELSIDE DR",
"address_2": "SUITE 2102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024229",
"telephone_number": "813-906-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "SARA",
"name_prefix": "Ms.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO 6627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.