ELIZABETH JANE ROUSH (O.D.) – Optometrist, NPI 1336451640

ELIZABETH JANE 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. 18003647A (IN). The NPI Number for ELIZABETH JANE ROUSH (O.D.) is 1336451640

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH JANE ROUSH (O.D.)
NPI
1336451640
Phone
(260) 347-3458
Address
781 E NORTH ST
Enumeration Date
2 July 2010
Last Update Date
26 August 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2606367788
Graduation Year
2010 (16 years ago)
PAC ID
1456485002
Group Practice PAC ID
9830165026
Professional Enrollment ID
I20100817001716
Address ID
IN467011534AL815XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for ELIZABETH JANE ROUSH (O.D.)

  • 781 E NORTH ST

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2023-05-01 • Largest payer in this snapshot: CooperVision Inc. ($91).

Total Amount

$144

General + Research + Ownership

Payments

2

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$91
Optos, Inc.$53
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: 2010-08-17

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
I20100817001716IOptometryINTBD

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 system5353$0
92250Photography of the retina2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2521$0
92134Imaging of retina2018$0
92133Imaging of optic nerve1916$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

What federal number belongs to ELIZABETH JANE ROUSH (O.D.)?
The federal identifier for ELIZABETH JANE ROUSH (O.D.) is NPI 1336451640.
Does this profile mean ELIZABETH JANE ROUSH (O.D.) is currently active?
Yes — ELIZABETH JANE ROUSH (O.D.) appears active in the national provider directory.
What kind of provider is ELIZABETH JANE ROUSH (O.D.)?
The page reflects Optometrist for ELIZABETH JANE ROUSH (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place ELIZABETH JANE ROUSH (O.D.)?
The snapshot lists Kendallville, Indiana for ELIZABETH JANE ROUSH (O.D.); download NPPES for the complete set.
What if Kendallville, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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