Provider Demographics
NPI:1184927790
Name:ROSENGARTEN O D & ASSOCIATES INC
Entity type:Organization
Organization Name:ROSENGARTEN O D & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NED
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ROSENGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-522-2760
Mailing Address - Street 1:771 S 30TH ST
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-4200
Mailing Address - Country:US
Mailing Address - Phone:740-522-2760
Mailing Address - Fax:740-522-2737
Practice Address - Street 1:771 S 30TH ST
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-4200
Practice Address - Country:US
Practice Address - Phone:740-522-2760
Practice Address - Fax:740-522-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2016-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5152152W00000X
OH4964152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty