Krista Roden, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KRISTA RODEN, O.D., INC.

Practice address

24581 Copper Hill Dr
Valencia, CA 91354

Phone

(612) 743-2030

NPI assigned

May 23, 2019

Last updated

May 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krista Roden, OD

Title

President

Phone

(612) 743-2030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1710544820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24917 MAGIC MOUNTAIN PKWY APT 811",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554696",
            "telephone_number": "612-743-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24581 COPPER HILL DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91354",
            "telephone_number": "612-743-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA RODEN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "RODEN",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-743-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Kosaka
• Vazken Kouftaian Donanian, RBT
• Robert Kozlowski, MD
• David Elliott Krieger, M.D.,PH.D.
• Uma Devi Krishnan, LMFT, PH.D.
• Valerie Kruszewski, PHARM D
• Daniel Chester Kryszan, PT
• Daniel Kucan
• Noah Kulala
• Thia Jolie Kulma, MA, LMFT

• Optometrist in Valencia, CA
• Providers in Valencia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.