Active NPI
Steven Weber Rosenak, OD
- Optometrist
- Saint Joseph, MO
National Provider Identifier
1841372166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02736
- Practice address
- 2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481 - Phone
- (816) 671-0500
- Fax
- (816) 671-0600
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | T02736 | MO | Primary |
Addresses
Primary practice location
2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Mailing address
2229A North Belt Highway
Saint Joseph, MO 64506-2481
Phone (816) 671-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000568 | Other | MO | PTAN |
| 19465031 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2229 N Belt Hwy
Suite a
Saint Joseph, MO 64506-2481
Phone (816) 671-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02736 | MO | MD | Optometrist |
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.
-
- Eyewear Supplier
- Saint Joseph, MO
- NPI 1063571271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1841372166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229A NORTH BELT HIGHWAY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062481",
"telephone_number": "816-671-0500",
"fax_number": "816-671-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 N BELT HWY STE A",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062481",
"telephone_number": "816-671-0500",
"fax_number": "816-671-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENAK",
"first_name": "STEVEN",
"middle_name": "WEBER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0000568",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "19465031",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.