Individual provider Active NPI

Christie L Rose, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1629146451
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1629 Issued in KS
Practice address
834 N Socora St
Wichita, KS 67212-3279
Phone
(316) 722-8883
Fax
(316) 721-4863
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1629 KS Primary

Addresses

Primary practice location

834 N Socora St
Wichita, KS 67212-3279

Mailing address

1851 N Webb Rd
Attn FLR2
Wichita, KS 67206-3413
Phone (316) 636-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100303000477 KS Practitioner - Optometry 5698810588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Kuhl OD LLCGroup PAC ID 7113321498, 35 clinicians

Practice addresses (Care Compare)

1277 N Maize Rd
Wichita, KS 67212-4302
Phone (316) 722-8883

1851 N Webb Rd
Wichita, KS 67206-3413
Phone (316) 636-2010

3910 N Ridge Rd
Wichita, KS 67205-7800
Phone (316) 721-2701

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
81.25
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1629KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Steven a. Kuhl OD, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Jul 13, 2002 Accepting new patients
Grene Vision Group LLC Optometrist CurrentSince Jul 13, 2002 Accepting new patients
Grene Vision Group LLC Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

3910 N Ridge Rd
Wichita, KS 67205
Phone (316) 721-2701

1277 N Maize Rd
Wichita, KS 67212
Phone (316) 722-8883

1851 N Webb Rd
Fl 2
Wichita, KS 67206

1851 N Webb Rd
Wichita, KS 67206
Phone (316) 609-2150

834 N Socora St
Wichita, KS 67212
Phone (316) 202-0045

1851 N Webb Rd
Bldg 200
Wichita, KS 67206
Phone (316) 636-2010

Interoperability endpoints

  • Direct secure messaging: christie.rose.p1@direct.gvg.nextgenshare.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1629146451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "address_2": "ATTN FLR2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-636-2010",
            "fax_number": "316-858-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-722-8883",
            "fax_number": "316-721-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHRISTIE",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.