Individual provider Active NPI

Dina Marie Rossi, O.D.

  • Optometrist
  • Niles, OH
National Provider Identifier
1992834956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4872 T1737 Issued in OH
Practice address
5320 Youngstown Rd
Sears Optical,
Niles, OH 44446
Phone
(330) 652-9097
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

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 4872 T1737 OH Primary

Addresses

Primary practice location

5320 Youngstown Rd
Sears Optical,
Niles, OH 44446

Mailing address

4009 Baymar Dr
Youngstown, OH 44511-3438
Phone (330) 792-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210426001688 CT Practitioner - Optometry 8921416264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rathjens Vision Care PCGroup PAC ID 8921326265, 3 clinicians

Practice addresses (Care Compare)

1201 Boston Post Rd
Suite 2063
Milford, CT 06460-9014
Phone (203) 530-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4872 T1737OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rathjens Vision Care, PC Optometrist CurrentSince Jan 22, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1201 Boston Post Rd
Ste 2006
Milford, CT 06460
Phone (203) 530-3000

1201 Boston Post Rd
Ste 2063
Milford, CT 06460
Phone (203) 530-3000

Organizations & group practices 2

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992834956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BAYMAR DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445113438",
            "telephone_number": "330-792-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 YOUNGSTOWN RD",
            "address_2": "SEARS OPTICAL,",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-652-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "DINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4872 T1737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.