NPIMap

Organization Active NPI

Dr. Rosa Optometry, Inc.

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1932238680
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7563T Issued in CA
Legal business name
DR. ROSA OPTOMETRY, INC.
Practice address
282 N El Camino Real
Ste F
Encinitas, CA 92024-2863
Phone
(760) 634-1957
Fax
(760) 634-1994
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Ron M. Rosa, O.D.
Title
Ceo
Phone
(760) 634-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7563T CA Primary

Addresses

Primary practice location

282 N El Camino Real
Ste F
Encinitas, CA 92024-2863

Mailing address

282 N El Camino Real
Ste F
Encinitas, CA 92024-2863
Phone (760) 634-1957

Other identifiers 3

IdentifierTypeStateIssuer
48528OtherCASAFEGUARD DENTAL AND VISION
06676OtherCAMEDICAL EYE SERVICES MESC
CA07563OtherCAVISION BENIFITS OF AMERICA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1932238680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 N EL CAMINO REAL",
            "address_2": "STE F",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242863",
            "telephone_number": "760-634-1957",
            "fax_number": "760-634-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 N EL CAMINO REAL",
            "address_2": "STE F",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242863",
            "telephone_number": "760-634-1957",
            "fax_number": "760-634-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROSA OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-634-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7563T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD DENTAL AND VISION",
            "identifier": "48528",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES MESC",
            "identifier": "06676",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENIFITS OF AMERICA",
            "identifier": "CA07563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.