Rose Optical, Inc.
Rose Optical, Inc. is a healthcare organization registered as Optometrist in Godfrey, IL, holding Type 2 (organization) NPI 1669444063 since 2006. The authorized official on file is Marie Mangrum, Board Secretary/Treas..
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669444063 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Rose Optical, Inc. |
| Practice address | 3300 GODFREY RD, Godfrey, IL, 62035 |
| Phone | 6184668787 |
| Fax | 6184664703 |
| Enumeration date | 2006-02-02 |
| Last updated in NPPES | 2011-08-29 |
Authorized official
| Name | Marie Mangrum |
|---|---|
| Title | Board Secretary/Treas. |
| Phone | 6184668787 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 22652655 | IL |
Copy-ready billing details
Provider: Rose Optical, Inc. NPI: 1669444063 Taxonomy: 152W00000X (Optometrist) Address: 3300 GODFREY RD, Godfrey, IL, 62035
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720170921 | Ron Loflin | Individual | Optometrist | Godfrey, IL |
| 1467533661 | Adeyinka Adewale | Individual | Optometrist | Godfrey, IL |
| 1598897456 | Mark Ferguson | Individual | Optometrist | Godfrey, IL |
| 1861614810 | Keith Lyston | Individual | Optometrist | Godfrey, IL |
| 1780850032 | Illini Optometric PC | Organization | Optometrist | Godfrey, IL |
| 1174774079 | Bradley Martinson | Individual | Optometrist | Godfrey, IL |
Verify this record
Cross-check NPI 1669444063 against the authoritative CMS record: view Rose Optical, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Rose Optical, Inc.?
What is the NPI number for Rose Optical, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-08-29.