NPIMap

Organization Active NPI

T Rose Holdings, Inc.

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1992863724
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 006002 Issued in NY
Legal business name
T ROSE HOLDINGS, INC.
Doing business as
Traveling Optometry, PC
Practice address
224 Harrison St
Sutie 218
Syracuse, NY 13202-3056
Phone
(315) 295-0467
Fax
(315) 295-1096
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Tricia D. Rose, ODNPI 1518025089
Title
President
Phone
(315) 682-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV 006002 NY Primary

Addresses

Primary practice location

224 Harrison St
Sutie 218
Syracuse, NY 13202-3056

Mailing address

224 Harrison St
Sutie 218
Syracuse, NY 13202-3056
Phone (315) 295-0467

Other identifiers 1

IdentifierTypeStateIssuer
02362605MedicaidNY

Other names 1

  • Traveling Optometry, PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1992863724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HARRISON ST",
            "address_2": "SUTIE 218",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023056",
            "telephone_number": "315-295-0467",
            "fax_number": "315-295-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HARRISON ST",
            "address_2": "SUTIE 218",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023056",
            "telephone_number": "315-295-0467",
            "fax_number": "315-295-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T ROSE HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-682-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traveling Optometry, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.