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ELIZABETH JANE ROUSH O.D.
NPI 1336451640
Optometrist in Kendallville, IN

Active since July 02, 2010PECOS EnrolledAccepts Medicare Assignment
781 E NORTH ST, KENDALLVILLE, IN 46755(260) 347-3458(260) 347-4425 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Jane Roush O.d. NPPES

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

ELIZABETH JANE ROUSH O.D. (NPI 1336451640) is an individual optometrist in Kendallville, Indiana, licensed in Indiana (18003647A) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2010).

NPPES Registry Identity

NPI1336451640
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameELIZABETH JANE ROUSHCredential: O.D.
Location Address781 E NORTH STKendallville, IN 46755-1225
Mailing Address781 E North StKendallville, IN 46755-1225 · (260) 347-3458 · Fax (260) 347-4425
Phone(260) 347-3458
Fax(260) 347-4425
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2010
Enumeration DateJuly 2, 2010
Last NPPES UpdateAugust 26, 2016
✔ NPI 1336451640 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 IN · 18003647A
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.
781 E NORTH ST, Kendallville, IN 46755
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Other Identifiers 2

Medicaid200989580IN
Medicare PINM400020727IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Jane Roush O.d. 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 ID1456485002
PECOS Enrollment IDI20100817001716
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
55 services53 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
26 services19 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
21 services21 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46755 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

CRAIG MICHAEL LICHLYTER O.D.
Optometrist
781 E NORTH ST
KENDALLVILLE, IN 46755
Noble County (260) 347-3458

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 Elizabeth Roush's NPI number?

The NPI number for Elizabeth Roush is 1336451640. It was assigned to this individual provider in the NPPES registry on July 2, 2010.

Where is Elizabeth Roush located?

Elizabeth Roush practices at 781 E North St, Kendallville, IN 46755. The listed phone number is (260) 347-3458.

What is Elizabeth Roush's specialty?

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

Is Elizabeth Roush enrolled in Medicare?

Yes. Elizabeth Roush 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.

What insurance does Elizabeth Roush accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Elizabeth Roush 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 Elizabeth Roush was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.