Individual provider Active NPI

Virginia Kekahuna, O.D.

  • Optometrist
  • Kyle, TX
National Provider Identifier
1073946638
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8242T Issued in TX
Practice address
4217 Benner Road
Suite 450
Kyle, TX 78640
Phone
(979) 571-0629
NPI assigned
Aug 18, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8242T TX Primary

Addresses

Primary practice location

4217 Benner Road
Suite 450
Kyle, TX 78640

Mailing address

4217 Benner Road
Suite 450
Kyle, TX 78640
Phone (512) 430-4350

Other names 1

  • Hallie Virginia Simpson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131030000164 TX Practitioner - Optometry 6507091543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4217 Benner
Suite 450
Kyle, TX 78640-2556
Phone (512) 430-4350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8242TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Acuity Vision, PLLC Optometrist CurrentSince Aug 21, 2017 Accepting new patients

Locations

4217 Benner
Ste 450
Kyle, TX 78640
Phone (512) 430-4350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073946638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 BENNER ROAD",
            "address_2": "SUITE 450",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-430-4350",
            "fax_number": "512-430-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 BENNER ROAD",
            "address_2": "SUITE 450",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "979-571-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKAHUNA",
        "first_name": "VIRGINIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8242T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALLIE",
            "last_name": "SIMPSON",
            "middle_name": "VIRGINIA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.