Individual provider Active NPI

Rachel M Hayden, OD

  • Optometrist
  • Henderson, KY
National Provider Identifier
1144775008
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2035DT Issued in KY
Practice address
1413 N Elm St Ste 102
Henderson, KY 42420-2776
Phone
(270) 826-1500
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 2035DT KY Primary

Addresses

Primary practice location

1413 N Elm St Ste 102
Henderson, KY 42420-2776

Mailing address

1413 N Elm St Ste 102
Henderson, KY 42420-2776
Phone (270) 826-1500

Other names 1

  • Dr. Rachel M Kenney Former name

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
I20201208001303 KY Practitioner - Optometry 0345652814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal S Oliver OD PLLCGroup PAC ID 3678833803, 2 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Suite 102
Henderson, KY 42420-2776
Phone (270) 826-1500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal S Oliver OD PLLC Optometrist CurrentSince Sep 5, 2020 Accepting new patients
Oak Tree Eye Clinic Inc PSC Optometrist PastSince Aug 1, 2019 Accepting new patients

Locations

1413 N Elm St
Ste 102
Henderson, KY 42420
Phone (270) 826-1500

231 2nd St
Henderson, KY 42420
Phone (270) 826-1500

Organizations & group practices 2

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1144775008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 102",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202776",
            "telephone_number": "270-826-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 102",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202776",
            "telephone_number": "270-826-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "RACHEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2035DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KENNEY",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.