Roselyn Wei Gwen Jeun, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4086 Issued in MA

Practice address

841 Washington Street
Holliston, MA 01746

Phone

(508) 429-1330

Fax

(508) 429-0922

NPI assigned

Aug 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1609982677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 WASHINGTON STREET",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "01746",
            "telephone_number": "508-429-1330",
            "fax_number": "508-429-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 WASHINGTON STREET",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "01746",
            "telephone_number": "508-429-1330",
            "fax_number": "508-429-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEUN",
        "first_name": "ROSELYN",
        "middle_name": "WEI GWEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317641",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lila Hosbjor
• Margeaux Ivins, MS, CCC-SLP
• Charlene R Jacobs
• Zachary Jacobs
• Larissa James
• Erin Johnston, RD
• Kate Morrison, Licsw, Counseling, LLC
• Steven Eliot Katz, D.C.
• Stacey C Kennon, M.D.
• Debra Kerrigan, OTR/L

• Corneal and Contact Management Optometrist in Holliston, MA
• Providers in Holliston, MA by specialty
• Corneal and Contact Management Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.