Individual provider Active NPI

Marsha Y Rosenberg, O.D.

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1912925124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2440TG Issued in TX
Practice address
2410 S Stemmons Fwy
Ste E
Lewisville, TX 75067-8777
Phone
(972) 315-5202
Fax
(972) 315-3083
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2440TG TX Primary

Addresses

Primary practice location

2410 S Stemmons Fwy
Ste E
Lewisville, TX 75067-8777

Mailing address

2410 S Stemmons Fwy
Ste E
Lewisville, TX 75067-8777
Phone (972) 315-5202

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

State licenses

LicenseStateTypeSpecialty
2440TGTXMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912925124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S STEMMONS FWY",
            "address_2": "STE E",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678777",
            "telephone_number": "972-315-5202",
            "fax_number": "972-315-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S STEMMONS FWY",
            "address_2": "STE E",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678777",
            "telephone_number": "972-315-5202",
            "fax_number": "972-315-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARSHA",
        "middle_name": "Y",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2440TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.