SAMANTHA ROSEN OD
NPI 1740668607
Optometrist in Grand Rapids, MI

Q: What is Samantha Rosen's NPI number?

The NPI number for Samantha Rosen is 1740668607. It was assigned to this individual provider in the NPPES registry on May 12, 2015. The provider is also known as Samantha Fordyce Od.

Q: What is Samantha Rosen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Rosen was last updated on August 10, 2017. 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.

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment

35 MICHIGAN ST NE, SUITE 5101, GRAND RAPIDS, MI 49503(616) 526-7260(616) 267-2606 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha Rosen Od NPPES

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

SAMANTHA ROSEN OD (NPI 1740668607) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004951) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Michigan College Of Medicine And Surgery (2015).

NPPES Registry Identity

NPI1740668607

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSAMANTHA ROSENCredential: OD

Location Address35 MICHIGAN ST NE, SUITE 5101Grand Rapids, MI 49503-2514

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 526-7260

Fax(616) 267-2606

Sole ProprietorNo

Medical School CMSMichigan College Of Medicine And SurgeryGraduated 2015

Enumeration DateMay 12, 2015

Last NPPES UpdateAugust 10, 2017

✔ NPI 1740668607 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 MI · 4901004951

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.

35 MICHIGAN ST NE, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Samantha Fordyce Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Samantha Rosen 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 ID8022322593

PECOS Enrollment IDI20160603001200

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 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

CASEY J MADURA M.D.

Neurological Surgery

35 MICHIGAN ST NE, SUITE 3003
GRAND RAPIDS, MI 49503

Kent County (616) 267-2570

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Durable Medical Equipment & Medical Supplies

35 MICHIGAN ST NE, SUITE 5101
GRAND RAPIDS, MI 49503

Kent County (616) 267-1030

KATIE MARIE SONNEVELDT PA-C

Physician Assistant

35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503

Kent County (616) 267-2600

ALEXANDRA CARBERRY PHARMD

Pharmacist

35 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 267-2200

MICHIGAN PATHOLOGY SPECIALISTS PC

Pathology (Anatomic Pathology & Clinical Pathology)

35 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 267-2660

DR. RYAN FISHER COX M.D.

Pediatrics (Pediatric Gastroenterology)

35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503

Kent County (616) 267-2100

KHALID MOHAMMED ABULABAN M.D.

Pediatrics (Pediatric Rheumatology)

35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503

Kent County (616) 267-2700

JILL R GIBSON NP

Nurse Practitioner (Pediatrics)

35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503

Kent County (616) 267-2100

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 Samantha Rosen's NPI number?

The NPI number for Samantha Rosen is 1740668607. It was assigned to this individual provider in the NPPES registry on May 12, 2015. The provider is also known as Samantha Fordyce Od.

Where is Samantha Rosen located?

Samantha Rosen practices at 35 Michigan St NE Suite 5101, Grand Rapids, MI 49503. The listed phone number is (616) 526-7260.

What is Samantha Rosen's specialty?

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

Is Samantha Rosen enrolled in Medicare?

Yes. Samantha Rosen 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 Samantha Rosen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 6 other insurers list Samantha Rosen 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 Samantha Rosen was last updated on August 10, 2017. 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.