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CITLALLI ROSAS MEDINA O.D
NPI 1659109387
Optometrist in Memphis, TN

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
1225 MADISON AVE, MEMPHIS, TN 38104(901) 722-3250 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Citlalli Rosas Medina O.d NPPES

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

CITLALLI ROSAS MEDINA O.D (NPI 1659109387) is an individual optometrist in Memphis, Tennessee, licensed in Florida (6548) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659109387
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCITLALLI ROSAS MEDINACredential: O.D
Location Address1225 MADISON AVEMemphis, TN 38104-2211
Mailing Address1225 Madison AveMemphis, TN 38104-2211
Phone(901) 722-3250
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1659109387 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 FL · 6548
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.
1225 MADISON AVE, Memphis, TN 38104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Providence Health Plan, Wellpoint.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

Citlalli Rosas Medina 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 ID2365958972
PECOS Enrollment IDI20250721003848
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 38104 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 20

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

DR. DANIEL GUNN FULLER O.D.
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3319
DR. MICHAEL T CHRISTENSEN O.D.
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
DR. ESLA SUBASHI SPETH O.D.
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
DR. CYNTHIA GALE HEARD O.D.
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
DR. DARAH LOCKHART MCDANIEL-CHANDLER O.D.
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
JESSICA DANIELS
Student in an Organized Health Care Education/Training Program
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
DR. LINDSAY M ELKINS OD
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250
KRISTIN K ANDERSON OD
Optometrist
1225 MADISON AVE
MEMPHIS, TN 38104
Shelby County (901) 722-3250

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 Citlalli Rosas Medina's NPI number?

The NPI number for Citlalli Rosas Medina is 1659109387. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Citlalli Rosas Medina located?

Citlalli Rosas Medina practices at 1225 Madison Ave, Memphis, TN 38104. The listed phone number is (901) 722-3250.

What is Citlalli Rosas Medina's specialty?

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

Is Citlalli Rosas Medina enrolled in Medicare?

Yes. Citlalli Rosas Medina 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 Citlalli Rosas Medina accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Providence Health Plan and Wellpoint list Citlalli Rosas Medina 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 Citlalli Rosas Medina was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.