SHANA WIDICK ROSE M.D. NPI 1508020645

NPI Information

  • NPI: 1508020645
  • Provider Name: SHANA WIDICK ROSE, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1011 BOWLES AVE
    SUITE 415
    FENTON, MO
    ZIP 63026
  • Phone: (636) 717-1700

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NPI Details

Shana Widick Rose, M.D. is an ophthalmology in Fenton, MO with 14 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Shana Widick Rose, M.D. NPI is 1508020645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 BOWLES AVE
SUITE 415
FENTON, MO
ZIP 63026-395
Phone: (636) 717-1700
Fax: (636) 203-4727

The NPI 1508020645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of retina (HCPCS:92134)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Imaging of optic nerve (HCPCS:92133)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient complete exam of visual system (HCPCS:92004)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 7/17/2008 and was last updated on 1/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology2011014018MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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