Individual provider Active NPI

Keri Hartsell

  • Optometrist
  • Cairo, GA
National Provider Identifier
1174936918
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002813 Issued in GA
Practice address
321 N Broad St
Cairo, GA 39828-2110
Phone
(229) 377-5432
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 OPT002813 GA Primary

Addresses

Primary practice location

321 N Broad St
Cairo, GA 39828-2110

Mailing address

321 N Broad St
Cairo, GA 39828-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20140715001773 GA Practitioner - Optometry 7618192253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cairo Eye Care, LLCGroup PAC ID 3870484637, 2 clinicians

Practice addresses (Care Compare)

321 N Broad St
Cairo, GA 39828-2110
Phone (229) 377-5432

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cairo Eye Care, LLC Optometrist CurrentSince Jun 11, 2014 Accepting new patients

Locations

321 N Broad St
Cairo, GA 39828
Phone (229) 377-5432

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, 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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1174936918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282110",
            "telephone_number": "229-377-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSELL",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.