Individual provider Active NPI

Robert Thomas Roselius, O.D.

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1811169634
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
71 Issued in AK
Practice address
2600 Denali St
Suite 603
Anchorage, AK 99503-2746
Phone
(907) 274-7825
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 71 AK Primary

Addresses

Primary practice location

2600 Denali St
Suite 603
Anchorage, AK 99503-2746

Mailing address

2600 Denali St
Suite 603
Anchorage, AK 99503-2746
Phone (907) 274-7825

Other identifiers 1

IdentifierTypeStateIssuer
OP0070MedicaidAK

Other names 1

  • Thomas Roselius Professional 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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ovis Eyecare PC Optometrist CurrentSince Nov 7, 2025 Accepting new patients

Locations

450 E Tudor Rd
Ste 200
Anchorage, AK 99503
Phone (907) 274-7825

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1811169634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST",
            "address_2": "SUITE 603",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032746",
            "telephone_number": "907-274-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST",
            "address_2": "SUITE 603",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032746",
            "telephone_number": "907-274-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELIUS",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP0070",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "ROSELIUS",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.