Active NPI
Kris A Kline, O.D.
- Optometrist
- Circleville, OH
National Provider Identifier
1124098744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4025
- Practice address
- 1340 N Court St
Circleville, OH 43113-1091 - Phone
- (740) 477-3937
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- 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 | 4025 | OH | Primary |
Addresses
Primary practice location
1340 N Court St
Circleville, OH 43113-1091
Mailing address
1340 N Court St
Circleville, OH 43113-1091
Phone (740) 477-3937
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0598710001 | Other | OH | NATIONAL GOVERNMENT SERVICES |
| 206663067002 | Other | MEDICAL MUTUAL | |
| 206663067001 | Other | OH | MEDICAL MUTUAL |
| 000000213315 | Other | OH | BLUE CROSS BLUE SHIELD |
| 0726558 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20060220000633 | OH | Practitioner - Optometry | 8224043807 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1340 N Court St
Circleville, OH 43113-1091
Phone (740) 477-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4025 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kline Vision Incorporated | Optometrist | Current | Accepting new patients |
Locations
1340 N Court St
Circleville, OH 43113
Phone (740) 477-3937
508 S Court St
Circleville, OH 43113
Phone (740) 477-3937
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": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1124098744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 N COURT ST",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131091",
"telephone_number": "740-477-3937",
"fax_number": "740-474-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 N COURT ST",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131091",
"telephone_number": "740-477-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "KRIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL GOVERNMENT SERVICES",
"identifier": "0598710001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "206663067002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "206663067001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000213315",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0726558",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Circleville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.