Individual provider Active NPI

Kristopher Robert Skromme, O.D.

  • Optometrist
  • Ventura, CA
National Provider Identifier
1437452950
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14025 TLG Issued in CA
Practice address
801 S Victoria Ave Ste 206
Ventura, CA 93003-0401
Phone
(805) 650-2020
Fax
(805) 650-2024
NPI assigned
Dec 7, 2010
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14025 TLG CA Primary

Addresses

Primary practice location

801 S Victoria Ave Ste 206
Ventura, CA 93003-0401

Mailing address

801 S Victoria Ave Ste 206
Ventura, CA 93003-0401
Phone (805) 650-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150320001558 CA Practitioner - Optometry 0749507226 Receives reassigned benefits from 3 practitioners
Practice locations: Ventura, CA
O20160608001711 CA DME Supplier - Physician - OptometristDME Supplier - Optician 2466742135 Practice locations: Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 S Victoria Ave
Ventura, CA 93003-0401
Phone (805) 650-2020

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14025CAMDAddiction (Substance Use Disorder) Counselor
14025 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Optometry PC Optometrist PastSince Feb 3, 2015 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1437452950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S VICTORIA AVE STE 206",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030401",
            "telephone_number": "805-650-2020",
            "fax_number": "805-650-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S VICTORIA AVE STE 206",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030401",
            "telephone_number": "805-650-2020",
            "fax_number": "805-650-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKROMME",
        "first_name": "KRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14025 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.