Kailey Soileau Daniel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2825 Issued in AR

Practice address

533 N 10TH St
Blytheville, AR 72315-1974

Phone

(870) 762-1942

NPI assigned

Jun 25, 2021

Sex

Female

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Optical Co IncGroup PAC ID 5597668574, 49 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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.

• City Optical Co., Inc.

  • Optometrist
  • Bloomington, IN
  • NPI 1003805185
  Medicare reassignment Care Compare group NPD
• City Optical Co., Inc.

  • Optometrist
  • Merrillville, IN
  • NPI 1356233068
  NPD
• City Optical Co., Inc.

  • Optometrist
  • Mooresville, IN
  • NPI 1508443474
  NPD
• City Optical Co., Inc.

  • Optometrist
  • Indianapolis, IN
  • NPI 1033107958
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Muncie, IN
  • NPI 1306070768
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Fishers, IN
  • NPI 1366274235
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Westfield, IN
  • NPI 1730980046
  NPD (past)
• City Optical Co., Inc.

  • Optometrist
  • Terre Haute, IN
  • NPI 1881683977
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1063082881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NOTTOWAY BLVD APT 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N 10TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151974",
            "telephone_number": "870-762-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "KAILEY",
        "middle_name": "SOILEAU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Renee Craig
• Hallie Crews
• Stanley Wilson Crisler
• Kenjarvis Cross, LCSW
• Custom Prosthetics & Orthotics
• Judy Daniels, MHPP
• Peggy Darty
• Christina Davis, MED
• Kenyghatta Davis, MHPP
• Lakershia Davis

• Optometrist in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.