Roger M Rossomondo, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

013925 Issued in GA

Practice address

158 Clinic Ave
Carrollton, GA 30117-4414

Phone

(770) 834-1008

Fax

(770) 834-2531

NPI assigned

Jul 27, 2006

Last updated

Jul 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carrollton Eye Clinic, P.C.

  dba CARROLLTON EYE CLINIC and SURGERY CENTER

  • Ophthalmologic Surgery Clinic/Center
  • Carrollton, GA
  • NPI 1447264247
  NPD
• Carrollton Eye Clinic, PC

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1346357928
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1942224217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008",
            "fax_number": "770-834-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008",
            "fax_number": "770-834-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOMONDO",
        "first_name": "ROGER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "013925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000091253C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000091253B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Clarice Rooks, PA
• Marie Roop
• Alexandria Hardin Rosenfeld, AGACNP-BC
• Iyona C Ross
• Satora Ross, FNP
• Patrick Rothschadl, ATC
• Michael Scott Rothschild, O.D.
• Charlie C. Rouse, M.D.
• Amy Rowell, FNP-C
• Kim Rowell

• Ophthalmology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.