DR. ROSE BARNES DICKERHOOF (O.D.) – Optometrist, NPI 1639273949

DR. ROSE BARNES DICKERHOOF (O.D.) is a healthcare provider. based in Medina, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3791 (OH). The NPI Number for DR. ROSE BARNES DICKERHOOF (O.D.) is 1639273949

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROSE BARNES DICKERHOOF (O.D.)
NPI
1639273949
Phone
(330) 725-4464
Address
837 N. COURT ST.
Enumeration Date
8 September 2006
Last Update Date
19 November 2010

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3303120497
Graduation Year
1985 (41 years ago)
PAC ID
9537274014
Group Practice PAC ID
1052797537
Professional Enrollment ID
I20120130000268
Address ID
OH442561718ME837XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. ROSE BARNES DICKERHOOF (O.D.)

  • 837, North Court Street, Medina, Medina County, Ohio, 44256, United States

    MEDINA, OH 442569504

    Phone: (330) 725-4464

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-01-30

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
I20120130000268IOptometryOHTBD

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 system3130$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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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: 1052797537View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YOH

Reviews

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Frequently asked questions

Where can patients find DR. ROSE BARNES DICKERHOOF (O.D.)'s NPI?
You can confirm DR. ROSE BARNES DICKERHOOF (O.D.) with NPI 1639273949; it appears in the national provider directory.
Is DR. ROSE BARNES DICKERHOOF (O.D.) active in the national directory?
DR. ROSE BARNES DICKERHOOF (O.D.)'s public NPI profile is in an active state.
What field does DR. ROSE BARNES DICKERHOOF (O.D.) work in?
You can think of DR. ROSE BARNES DICKERHOOF (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. ROSE BARNES DICKERHOOF (O.D.)'s primary listing?
We display Medina, Ohio because that is what the record indicates for DR. ROSE BARNES DICKERHOOF (O.D.).
Is DR. ROSE BARNES DICKERHOOF (O.D.) a real provider?
This page reflects official NPPES data for NPI 1639273949. Always confirm identity and privileges with the practice and licensing boards.

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