Active NPI
Karen Marie Summers, O.D.
- Optometrist
- Killeen, TX
National Provider Identifier
1063507580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6959TG
- Practice address
- 2102 S W S Young Dr
Killeen, TX 76543-5364 - Phone
- (254) 690-4733
- Fax
- (254) 690-6728
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6959TG | TX | Primary |
Addresses
Primary practice location
2102 S W S Young Dr
Killeen, TX 76543-5364
Mailing address
2102 S W S Young Dr
Killeen, TX 76543-5364
Phone (254) 690-4733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080416000070 | TX | Practitioner - Optometry | 5698853679 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7225 W Hwy
Suite B
Austin, TX 78735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John D. Coble | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1063507580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 S W S YOUNG DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435364",
"telephone_number": "254-690-4733",
"fax_number": "254-690-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 S W S YOUNG DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435364",
"telephone_number": "254-690-4733",
"fax_number": "254-690-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6959TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.