Individual provider Active NPI

Kelsey Elizabeth Hanke, OD

  • Optometrist
  • Springfield, OH
National Provider Identifier
1124510326
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006648 Issued in OH
Practice address
1674 N Limestone St
Springfield, OH 45503-2652
Phone
(937) 573-8969
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 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 OPT.006648 OH Primary

Addresses

Primary practice location

1674 N Limestone St
Springfield, OH 45503-2652

Mailing address

1674 N Limestone St
Springfield, OH 45503-2652
Phone (937) 573-8969

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727002347 OH Practitioner - Optometry 8820345499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1053 Summit Dr
Middletown, OH 45042-3464
Phone (513) 422-8031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Oh LLC Optometrist CurrentSince Jun 2, 2018 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Feb 3, 2020 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Feb 3, 2020 Accepting new patients
Hanke Optometry Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Dr. Steven a Shadwick and Assoc. Inc. Optometrist Past Accepting new patients

Locations

267 Broadway
#2
Brooklyn, NY 11211

1053 Summit Dr
Middletown, OH 45042
Phone (513) 422-8031

1674 N Limestone St
Springfield, OH 45503
Phone (937) 322-6411

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1124510326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032652",
            "telephone_number": "937-573-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032652",
            "telephone_number": "937-573-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKE",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.