DR. ELENA M ROSE O.D.
NPI 1619341575
Optometrist in Novi, MI

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
22350 NOVI RD, NOVI, MI 48375(248) 347-7800(248) 347-7801 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Nov 16, 2015 (2 updates tracked since 2015).

About Dr. Elena M Rose O.d. NPPES

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

DR. ELENA M ROSE O.D. (NPI 1619341575) is an individual optometrist in Novi, Michigan, licensed in Michigan (4901004945) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Novi, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619341575
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELENA M ROSECredential: O.D.
Location Address22350 NOVI RDNovi, MI 48375-4708
Mailing AddressPo Box 208177Dallas, TX 75320-8177 · (636) 200-4393 · Fax (636) 527-0766
Fax(248) 347-7801
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 16, 2015
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
NPI 1619341575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MI · 4901004945
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 4901004945 (MI)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 4901004945 (MI)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4901004945 (MI)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 4901004945 (MI)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 4901004945 (MI)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 4901004945 (MI)
22350 NOVI RD, Novi, MI 48375

Secondary Practice Location 1

Location 121500 Chase DrNovi, MI 48375-4763 · Phone (248) 880-6659

Accepted 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

Dr. Elena M Rose 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 ID8820381700
PECOS Enrollment IDI20160729001830
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48375 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 3

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

Optometrist
22350 NOVI RD
NOVI, MI 48375
Optometrist
22350 NOVI RD
NOVI, MI 48375
Optometrist
22350 NOVI RD
NOVI, MI 48375

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 Elena Rose's NPI number?

The NPI number for Elena Rose is 1619341575. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Elena Rose located?

Elena Rose practices at 22350 Novi Rd, Novi, MI 48375. The listed phone number is (248) 347-7800.

What is Elena Rose's specialty?

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

Is Elena Rose enrolled in Medicare?

Yes. Elena Rose 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 Elena Rose accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Elena Rose 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 Elena Rose was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.