Individual
KRISTEN JEAN ROSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6451 VILLAGE LN, SUITE 200, MACUNGIE, PA 18062-8484
(610) 965-1800
(610) 965-1805
Mailing address
6451 VILLAGE LN, SUITE 200, MACUNGIE, PA 18062-8484
(610) 965-1800
(610) 965-1805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1587719
BLUE SHIELD
PA
01
—
2001148
KEYSTONE
PA
01
—
232719844
BHP
PA
01
—
3721693
AETNA
PA
01
—
50041756
BLUE CROSS
PA
01
—
PA97028
VBA
PA
Enumeration date
09/19/2005
Last updated
06/16/2018
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