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ROSE OPTICAL, INC.
NPI 1669444063
Optometrist in Godfrey, IL

Active since February 02, 2006
3300 GODFREY RD, GODFREY, IL 62035(618) 466-8787(618) 466-4703 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Optical, Inc. NPPES

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

ROSE OPTICAL, INC. (NPI 1669444063) is a healthcare organization registered as an optometrist in Godfrey, Illinois and active in the NPI registry since February 2006. The organization lists Marie Annette Mangrum, Board Secretary/treas., as its authorized official.

NPPES Registry Identity

NPI1669444063
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameROSE OPTICAL, INC.
Location Address3300 GODFREY RDGodfrey, IL 62035-2558
Mailing AddressPo Box 5040Godfrey, IL 62035-5040 · (618) 466-8787 · Fax (618) 466-4703
Phone(618) 466-8787
Fax(618) 466-4703
Organization SubpartNo
Authorized OfficialMarie Annette MangrumBoard Secretary/treas. · (618) 466-8787
Enumeration DateFebruary 2, 2006
Last NPPES UpdateAugust 29, 2011
✔ NPI 1669444063 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 IL · 22652655
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.
3300 GODFREY RD, Godfrey, IL 62035
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Other Identifiers 3

Medicare PIN216190IL
Medicare NSC0728570001IL
Medicare PINDQ8668IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Rose Optical Inc carries, from the Medicare DMEPOS supplier directory.

Rose Optical Inc

DMEPOS supplier · Godfrey, IL
✔

Accepts Medicare assignment

Rose Optical Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20559755
Medicare Participant SinceJanuary 1, 2008
Supplier Location3300 Godfrey RdGodfrey, IL 62035
Phone(618) 466-8787
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

BRADLEY D MARTINSON OD
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
ADEYINKA A ADEWALE O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
DR. MARK EDWARD FERGUSON O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
RON LOFLIN O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
ILLINI OPTOMETRIC PC
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787
DR. KEITH LYSTON O.D.
Optometrist
3300 GODFREY RD
GODFREY, IL 62035
Madison County (618) 466-8787

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 Rose Optical, Inc.'s NPI number?

The NPI number for Rose Optical, Inc. is 1669444063. It was assigned to this organization in the NPPES registry on February 2, 2006.

Where is Rose Optical, Inc. located?

Rose Optical, Inc. is located at 3300 Godfrey Rd, Godfrey, IL 62035. The listed phone number is (618) 466-8787.

What is Rose Optical, Inc.'s specialty?

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

Does Rose Optical, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Rose Optical Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Rose Optical, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Rose Optical, Inc. 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 Rose Optical, Inc. was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.