Kenneth Leon Perkins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0001030 Issued in TN

Practice address

5407 Hixson Pike
Suite 121
Hixson, TN 37343-4559

Phone

(423) 842-1050

Fax

(423) 842-7246

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Doctors Optical Inc

  • Eyewear Supplier
  • Chattanooga, TN
  • NPI 1427262740
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1164570230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 VALLEYBROOK RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433067",
            "telephone_number": "423-842-1050",
            "fax_number": "423-842-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 HIXSON PIKE",
            "address_2": "SUITE 121",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434559",
            "telephone_number": "423-842-1050",
            "fax_number": "423-842-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KENNETH",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0001030",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIEL OF TN",
            "identifier": "0068706",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN",
            "identifier": "702024767",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Peaks, DDS
• Nickalus Pearce
• Robert Pearse
• Joshua Randall Pendley
• Jalea Perine, SLP-CCC
• Wesley Lewis Pettit, PHARM D
• Connie Denise Smith Petty, FNP-C
• David J Phillips, MD
• Dorothy Joann Phillips, PTA
• Melissa Gayle Phillips, LMT, MMP.

• Optometrist in Hixson, TN
• Providers in Hixson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.