LETICIA ALEXANDRA ROUSSO (O.D.) – Optometrist, NPI 1083099725

LETICIA ALEXANDRA ROUSSO (O.D.) is a healthcare provider. based in Davie, Florida. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. OPC5090 (FL). The NPI Number for LETICIA ALEXANDRA ROUSSO (O.D.) is 1083099725

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
LETICIA ALEXANDRA ROUSSO (O.D.)
NPI
1083099725
Phone
(954) 262-4397
Address
PO BOX 290370
Enumeration Date
23 July 2015
Last Update Date
9 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542624343
Graduation Year
2015 (11 years ago)
PAC ID
5193034015
Group Practice PAC ID
4486568896
Professional Enrollment ID
I20151015001916
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for LETICIA ALEXANDRA ROUSSO (O.D.)

  • PO BOX 290370

    DAVIE, FL 333290370

    Phone: (954) 262-4397

    Fax: (954) 262-2269

    Type: Mailing

  • 3200 S UNIVERSITY DR

    TERRY BUILDING 1402

    DAVIE, FL 333282018

    Phone: (954) 262-1402

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($60).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$60
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151015001916IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486568896View full group profile
NameSpecialtyState
Family PracticeFL
Registered Dietitian Or Nutrition ProfessionalNJ
-FL
O T O L A R Y N G O L O G YCA
-FL
O P T O M E T R YFL
O P T O M E T R YFL
-FL
-FL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do payers reference LETICIA ALEXANDRA ROUSSO (O.D.)?
For LETICIA ALEXANDRA ROUSSO (O.D.), use NPI 1083099725 as the unique 10-digit identifier.
Would LETICIA ALEXANDRA ROUSSO (O.D.) appear as active to a payer?
You can treat LETICIA ALEXANDRA ROUSSO (O.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LETICIA ALEXANDRA ROUSSO (O.D.)?
LETICIA ALEXANDRA ROUSSO (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is LETICIA ALEXANDRA ROUSSO (O.D.) associated with Davie?
Public fields place LETICIA ALEXANDRA ROUSSO (O.D.) around Davie, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LETICIA ALEXANDRA ROUSSO (O.D.) is noted as July 23, 2015 where the registry provides it.

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