Cathleen Roark, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1422 Issued in NE

Practice address

11844 Standing Stone Dr Ste 100
Gretna, NE 68028-7979

Phone

(402) 687-3435

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1235538125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18814 BRIAR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361626",
            "telephone_number": "308-940-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11844 STANDING STONE DR STE 100",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287979",
            "telephone_number": "402-687-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 S 40th St",
            "address_2": "Store 4416",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685163005",
            "country_code": "US",
            "telephone_number": "402-423-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680463910",
            "country_code": "US",
            "telephone_number": "402-339-5717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROARK",
        "first_name": "CATHLEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Reistoffer
• Carly Renken, M.ED.
• Lindsay Nicole Reuter
• Erin Reynolds, CCC-SLP
• Rylie Riepl
• Kailey Christine Roberg
• Jena Roeber, OTR/L, PHS, CLC
• Makenna Rommelfanger, D.C.
• Jose Rosas
• Mary Rowell

• Optometrist in Gretna, NE
• Providers in Gretna, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.