Kristen Jean Roseman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001192 Issued in PA

Practice address

6451 Village LN
Suite 200
Macungie, PA 18062-8484

Phone

(610) 965-1800

Fax

(610) 965-1805

NPI assigned

Sep 19, 2005

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichryk Eye Associates PCGroup PAC ID 9739284787, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drr@wichrykeye.eyefinity-direct.com
• Direct secure messaging: drroseman@wichryk-eye-associates.direct.kno2fy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wichryk Eye Associates, P.C.

  • Optometrist
  • Macungie, PA
  • NPI 1902822331
  Medicare reassignment Care Compare group NPD
• Berks Family Eyecare P C

  • Optometrist
  • Wernersville, PA
  • NPI 1982600136
  Medicare reassignment NPD
• Berks Family Eyecare P C

  • Durable Medical Equipment & Medical Supplies
  • Wernersville, PA
  • NPI 1861490047

  Optometrist

  NPD
• Emmaus Eye Care

  • Optometrist
  • Emmaus, PA
  • NPI 1942230735
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1013902717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628484",
            "telephone_number": "610-965-1800",
            "fax_number": "610-965-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 VILLAGE LN",
            "address_2": "SUITE 200",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628484",
            "telephone_number": "610-965-1800",
            "fax_number": "610-965-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2001148",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3721693",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50041756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA",
            "identifier": "PA97028",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1587719",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP",
            "identifier": "232719844",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Robinson
• Theresa Lynn Robinson, LPC
• Kourtney Rogers
• Donna C Root, OT
• Heather Elizabeth Rose, OTRL
• Donald Joseph Rother Jr., DDS
• Beata Rothrock, RRT,NPS
• Romina Andrea Rotsztejin de Mops, MS BILINGUAL SLP
• Owen Sabastro
• Ravivarma Sagiraju, MD

• Optometrist in Macungie, PA
• Providers in Macungie, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.