Individual provider Active NPI

Christina J Simpson, OD, FAAO

  • Optometrist
  • Rochester, NH
National Provider Identifier
1194134627
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
892 Issued in NH
Practice address
8 Lilac Mall
Rochester, NH 03867
Phone
(603) 335-6666
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 892 NH Primary

Addresses

Primary practice location

8 Lilac Mall
Rochester, NH 03867

Mailing address

739 Turkey St
North Berwick, ME 03906-5729

Other names 1

  • Christina Krolczyk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20150824000032 NH Practitioner - Optometry 8022323872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Family Eyecare IncGroup PAC ID 8628168010, 4 clinicians

Practice addresses (Care Compare)

8 Lilac Mall
Rochester, NH 03867-1350
Phone (603) 335-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
892NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Family Eyecare Inc Optometrist CurrentSince Aug 10, 2015 Accepting new patients

Locations

180 Farmington Rd
Rochester, NH 03867
Phone (603) 335-4522

8 Lilac Mall
Rochester, NH 03867
Phone (603) 335-6666

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1194134627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 TURKEY ST",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039065729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LILAC MALL",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-335-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CHRISTINA",
        "middle_name": "J",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KROLCZYK",
            "credential": "OD, FAAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.