Dr. Sharon Rovenstine, Optometrist, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-010067 Issued in IL

Legal business name

DR. SHARON ROVENSTINE, OPTOMETRIST, P.C.

Practice address

4050 Healthway Dr
Suite 100
Aurora, IL 60504-8183

Phone

(630) 820-1303

Fax

(630) 820-1398

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sharon M Rovenstine, O.D.

Title

Optometrist/Owner

Phone

(630) 820-1303

Specialties & licenses 4

Addresses

Other names 1

• Associated Optical Other name

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1922256239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-820-1303",
            "fax_number": "630-820-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-820-1303",
            "fax_number": "630-820-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHARON ROVENSTINE, OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "ROVENSTINE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "630-820-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010067",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-010067",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046-010067",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046-010067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Aurora, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.