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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRACEY NICOLE ROSENLICHT OD
NPI 1174374037
Optometrist in Southampton, NY

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment
414 COUNTY ROAD 39A, SOUTHAMPTON, NY 11968(631) 283-6226(631) 287-2946 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, May 18, 2025 (2 updates tracked since 2025).

About Tracey Nicole Rosenlicht Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY NICOLE ROSENLICHT OD (NPI 1174374037) is an individual optometrist in Southampton, New York, licensed in New York (011154) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174374037
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTRACEY NICOLE ROSENLICHTCredential: OD
Location Address414 COUNTY ROAD 39ASouthampton, NY 11968-5257
Mailing Address40 Mcculloch DrDix Hills, NY 11746-8328 · (631) 871-5136
Phone(631) 283-6226
Fax(631) 287-2946
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 28, 2024
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1174374037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 011154
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
414 COUNTY ROAD 39A, Southampton, NY 11968
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey Nicole Rosenlicht Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274038211
PECOS Enrollment IDI20250923000076
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tracey Rosenlicht reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sight Medical Doctors PLLC
46 mi
Ophthalmology
125 KENNEDY DR STE 400
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • 164 clinicians in this Medicare group
NPI 1487077483 (855) 295-4144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11968 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THEODORE J CALABRESE O.D.
Optometrist
414 COUNTY ROAD 39A
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-6226
SOUTHAMPTON OPTIKS LTD
Optometrist
414 COUNTY ROAD 39A
SOUTHAMPTON, NY 11968
Suffolk County (631) 283-6226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Rosenlicht's NPI number?

The NPI number for Tracey Rosenlicht is 1174374037. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Tracey Rosenlicht located?

Tracey Rosenlicht practices at 414 County Road 39A, Southampton, NY 11968. The listed phone number is (631) 283-6226.

What is Tracey Rosenlicht's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Tracey Rosenlicht enrolled in Medicare?

Yes. Tracey Rosenlicht is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tracey Rosenlicht's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Rosenlicht reassigns Medicare benefits to Sight Medical Doctors PLLC (Hauppauge, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracey Rosenlicht's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Rosenlicht accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Tracey Rosenlicht as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracey Rosenlicht was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.