ROBERT ALAN ROUSH (O.D.) – Optometrist, NPI 1003811860

ROBERT ALAN ROUSH (O.D.) is a healthcare provider. based in Kendallville, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18001875A (IN). The NPI Number for ROBERT ALAN ROUSH (O.D.) is 1003811860

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT ALAN ROUSH (O.D.)
NPI
1003811860
Phone
(260) 347-3458
Address
781 E NORTH STREET
Enumeration Date
17 June 2005
Last Update Date
20 July 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2603473458
Graduation Year
1979 (47 years ago)
PAC ID
8820064017
Group Practice PAC ID
9830165026
Professional Enrollment ID
I20091228000547
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for ROBERT ALAN ROUSH (O.D.)

  • 781, East North Street, Kendallville, Noble County, Indiana, 46755, United States

    KENDALLVILLE, IN 467551225

    Phone: (260) 347-3458

    Fax: (260) 347-4425

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-12-28

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
I20091228000547IOptometryINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2626$0
92250Photography of the retina1717$0
View full utilization report →

Insurance plans in this area (ZIP 46755)

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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: 9830165026View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Does ROBERT ALAN ROUSH (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ROBERT ALAN ROUSH (O.D.) uses 1003811860.
Can I rely on ROBERT ALAN ROUSH (O.D.) being an active provider?
As of the registry snapshot, ROBERT ALAN ROUSH (O.D.) is marked active.
What is ROBERT ALAN ROUSH (O.D.)'s specialty?
The listing groups ROBERT ALAN ROUSH (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is ROBERT ALAN ROUSH (O.D.) based?
ROBERT ALAN ROUSH (O.D.) is tied to Kendallville, Indiana in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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