Kristen Rose Boonie

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG004195 Issued in PA

Practice address

140 Allendale Rd
King of Prussia, PA 19406-2939

Phone

(610) 265-0344

NPI assigned

Aug 27, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • King of Prussia, PA
  • NPI 1811928476
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1649004144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E WILLOW GROVE AVE APT 406",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184428",
            "telephone_number": "845-705-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ALLENDALE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062939",
            "telephone_number": "610-265-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONIE",
        "first_name": "KRISTEN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Blakey
• Colleen Blue, BCBA
• Kara Blue
• Amy L Bobb, LCSW
• Ashley Bolig
• John Raymond Borella, MS, LPC
• Boston Brace International Inc.
• Giovanna Bova
• Dawn Marie Bower, M.ED., LPC
• Brittany Mae Bowman, COTA/L

• Optometrist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.