| Doctor Name: | MRS. CHRISTINA ROSEBECK |
| NPI Number: | 1114319837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED OPTICIAN |
| License Number: | S 6513 |
| Business Practice Address: | 25102 Brookpark Rd Ste 126 North Olmsted, OH - 440706413 |
| Business Phone Number: | 4407341030 |
| Business Fax Number: | 4407340654 |
| Mailing Address: | 25102 Brookpark Rd Ste 126, NORTH OLMSTED |
| State: | OH |
| Postal Code: | 440706413 |
| Phone Number: | 4407341030 |
| Fax Number: | 4407340654 |
| NPI Enumeration Date: | 03/04/2015 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | S 6513 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |