Individual provider Active NPI

Christa Fay Schlenker Roser, OD FCOVD

  • Optometrist
  • Dallastown, PA
National Provider Identifier
1326187519
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE 6810 P Issued in PA
Practice address
2791 South Queen Street
Dallastown, PA 17313
Phone
(717) 741-5531
Fax
(717) 741-3001
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE 6810 P PA Primary

Addresses

Primary practice location

2791 South Queen Street
Dallastown, PA 17313

Mailing address

2791 South Queen Street
Dallastown, PA 17313
Phone (717) 741-5531

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120807000612 PA Practitioner - Optometry 0345496345 Practice locations: York, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2649 Carnegie Rd
York, PA 17402-3786
Phone (717) 741-5531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE 6810 PPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Therapy Associates of York Optometrist PastSince Apr 30, 1993 Accepting new patients

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326187519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 SOUTH QUEEN STREET",
            "city": "DALLASTOWN",
            "state": "PA",
            "postal_code": "17313",
            "telephone_number": "717-741-5531",
            "fax_number": "717-741-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 SOUTH QUEEN STREET",
            "city": "DALLASTOWN",
            "state": "PA",
            "postal_code": "17313",
            "telephone_number": "717-741-5531",
            "fax_number": "717-741-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSER",
        "first_name": "CHRISTA",
        "middle_name": "FAY SCHLENKER",
        "credential": "OD FCOVD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE 6810 P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallastown, PA

Sources for this page

Verify at the official NPI Registry.