Individual provider Active NPI

Steven Weber Rosenak, OD

  • Optometrist
  • Saint Joseph, MO
National Provider Identifier
1841372166
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02736 Issued in MO
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

Updated by the provider on Jun 19, 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 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

IdentifierTypeStateIssuer
0000568OtherMOPTAN
19465031OtherBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110115000052 MO Practitioner - Optometry 2466568027 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
T02736MOMDOptometrist

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.

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

Verify at the official NPI Registry.