Kristen Suzanne Gracia, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004374A Issued in IN

Practice address

955 N Michigan Ave Ste 2
Greensburg, IN 47240-1487

Phone

(812) 222-2020

Fax

(855) 515-0832

NPI assigned

Oct 27, 2022

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

Other identifiers 1

Other names 1

• Kristen Suzanne Owens Former name

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

Indiana University - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whitewater Eye Centers LLCGroup PAC ID 6608914072, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.19 of 100Reported as group

Quality

96.18

Improvement activities

40

Cost

49.06

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgracia@whitewater.intellechartdirect.net

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.

• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1962635052

  Optometrist

  Medicare reassignment Care Compare group NPD
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Greenfield, IN
  • NPI 1750019279

  Optometrist

  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Greensburg, IN
  • NPI 1043813173

  Optometrist

  NPD (past)
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Batesville, IN
  • NPI 1174154967

  Optometrist

  NPD (past)
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Connersville, IN
  • NPI 1215160304

  Optometrist

  NPD (past)
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Greenville, OH
  • NPI 1548493562

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1104543347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741213",
            "telephone_number": "765-962-2020",
            "fax_number": "765-966-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N MICHIGAN AVE STE 2",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-222-2020",
            "fax_number": "855-515-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "KRISTEN",
        "middle_name": "SUZANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004374A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE",
            "identifier": "18004374A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "OWENS",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunil Ghosh, PT
• Lauren Nicole Gill, FNP-BC
• Haley Elizabeth Gorrell
• Vanessa Ann Gorth, COTA
• James Gosmeyer
• Hunter Gray, RBT
• Greensburg Community School Corporation
• Greensburg Medical Associates P.C.
• Emily Greiwe
• Hagerty Dental Studio, LLC

• Optometrist in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.