Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kirsti Ellen Roehm, OD

Individual provider Optometrist · NPI 1447788419

Kirsti Ellen Roehm, OD is an Optometry in St Petersburg, Florida. Graduated from Ohio State University - College of Optometry in 2017, 9 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
9
Trained at
Ohio State University - College of Optometry
Licensed in
FL, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

620 10th St N Ste 2C
St Petersburg, FL 33705-1407
Phone: (727) 824-7120
Fax: (727) 824-8329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 Avenue K Se, Winter Haven, FL 33880 — (863) 294-3504

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC5540 (FL)
Optometrist Taxonomy 152W00000X · Licence 6578 (OH)

Record details

NPI number1447788419
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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