Individual provider Active NPI

Kimberly S Hoyt, O.D.

  • Optometrist
  • Ashland, OR
National Provider Identifier
1174691885
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3010T Issued in OR
Practice address
215 Fourth St
Ashland, OR 97520-2043
Phone
(541) 708-5350
NPI assigned
Dec 1, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3010T OR Primary

Addresses

Primary practice location

215 Fourth St
Ashland, OR 97520-2043

Mailing address

215 Fourth St
Ashland, OR 97520-2043
Phone (541) 708-5350

Other identifiers 3

IdentifierTypeStateIssuer
410022266OtherRAILROAD MEDICARE
001191008OtherBLUE CROSS BLUE SHIELD
119771MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100304001002 OR Practitioner - Optometry 8820133564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Accent Inc. Optometrist CurrentSince Jun 25, 2021 Accepting new patients
Vision Accent Inc. Optometrist Current Accepting new patients
Medical Eye Center Optical Inc Past Accepting new patients

Locations

215 4th St
Ashland, OR 97520
Phone (541) 708-5350

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1174691885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FOURTH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-708-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FOURTH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-708-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYT",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3010T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410022266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001191008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119771",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.