Individual provider Active NPI

Kristin Leigh Gunn, OD

  • Optometrist
  • Ft Mitchell, KY
National Provider Identifier
1104314640
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2132DT Issued in KY
Practice address
2220 Grandview Dr Ste 120
Ft Mitchell, KY 41017
Phone
(859) 578-0393
NPI assigned
Apr 30, 2018
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2132DT KY Primary

Addresses

Primary practice location

2220 Grandview Dr Ste 120
Ft Mitchell, KY 41017

Mailing address

59 Carothers Rd
Newport, KY 41071-2415
Phone (513) 203-3325

Other practice location 1

59 Carothers Rd
Newport, KY 41071-2415
Phone (859) 491-1010

Other practice location 2

59 Carothers Rd
Newport, KY 41071
Phone (859) 491-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190205003063 KY Practitioner - Optometry 9335487099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Opticare Vision Centers, LLCGroup PAC ID 5698029338, 6 clinicians
DRS Cooke, Landon and Sellers Optometrist, P.S.CGroup PAC ID 5193744316, 6 clinicians

Practice addresses (Care Compare)

2220 Grandview Dr
Suite 120
Fort Mitchell, KY 41017-1691
Phone (859) 578-0393

59 Carothers Rd
Newport, KY 41071-2415
Phone (859) 491-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opticare Vision Centers, LLC Optometrist CurrentSince Dec 4, 2018 Accepting new patients
DRS Cooke, Landon & Sellers, Optometrist, P.S.C Optometrist CurrentSince Dec 4, 2018 Accepting new patients
Julie Metzger OD PSC Optometrist PastSince Jun 1, 1995 Accepting new patients

Locations

6901 Dixie Hwy
Florence, KY 41042
Phone (859) 525-1800

2220 Grandview Dr
Ste 120
Ft Mitchell, KY 41017
Phone (859) 578-0393

59 Carothers Rd
Newport, KY 41071
Phone (859) 491-1010

Organizations & group practices 3

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1104314640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712415",
            "telephone_number": "513-203-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GRANDVIEW DR STE 120",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-578-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Carothers Rd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410712415",
            "country_code": "US",
            "telephone_number": "859-491-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Carothers Rd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "41071",
            "country_code": "US",
            "telephone_number": "859-491-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2132DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Mitchell, KY

Sources for this page

Verify at the official NPI Registry.