Individual provider Active NPI

Cristina Marie Rosano, OD

  • Optometrist
  • Bala Cynwyd, PA
National Provider Identifier
1609490432
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003681 Issued in PA
Practice address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone
(484) 434-2700
Fax
(610) 660-0419
NPI assigned
Jun 8, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OM00167900 NJ
Optometrist 152W00000X OEG003681 PA Primary

Addresses

Primary practice location

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108

Mailing address

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crosano@vt.edu

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
I20200715000547 PA Practitioner - Optometry 4688097231 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OM00167900NJMDOptometrist
OEG003681PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Elder Eye Care Group, Inc Optometrist CurrentSince Feb 15, 2023 Accepting new patients
Gretchen J Brewer, OD & Associates, Inc Optometrist CurrentSince Jul 6, 2020 Accepting new patients

Locations

2944 Conestoga Rd
Unit D4
Glenmoore, PA 19343
Phone (610) 458-7171

101 Montgomery Mall
North Wales, PA 19454
Phone (215) 361-2400

101 Montgomery Mall
#J
North Wales, PA 19454
Phone (215) 361-2400

2329 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-7228

2329 Cottman Ave
#J
Philadelphia, PA 19149
Phone (215) 332-7228

501 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 917-9999

Organizations & group practices 4

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": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1609490432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANO",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00167900",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crosano@vt.edu",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "address_1": "1010 Ashley Rd",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193827561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.