Kendall Kyle Halls, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1101004067 Issued in VA

Practice address

12401 Jefferson Ave Ste 700
Newport News, VA 23602-4311

Phone

(757) 877-0366

NPI assigned

Feb 26, 2024

Sex

Male

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

Locations

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.

• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1043076185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIDENWOOD DR APT C2",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062319",
            "telephone_number": "757-879-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 JEFFERSON AVE STE 700",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024311",
            "telephone_number": "757-877-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLS",
        "first_name": "KENDALL",
        "middle_name": "KYLE",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101004067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Hall
• Jillian T Hall, PA
• Kelli L Hall, MD
• Kweli Jeuri Hall
• Nicola J Hall, LPC, CSAC
• Halo Gala Hair Co
• James Matthew Halverson, DO
• Jennifer Lynn Hambright, MSW, LCSW
• Khalid M Hamid, MD
• James Hamill, MD

• Optician in Newport News, VA
• Providers in Newport News, VA by specialty
• Optician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.