Individual provider Active NPI

Kristen A Weslock, OD

  • Optometrist
  • Trussville, AL
National Provider Identifier
1184614943
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-311 Issued in AL
Practice address
129 N Chalkville Rd
Trussville, AL 35173-1376
Phone
(205) 445-2020
Fax
(205) 655-3194
NPI assigned
Oct 24, 2005
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008752 IL
Optometrist 152W00000X R-311 AL Primary

Addresses

Primary practice location

129 N Chalkville Rd
Trussville, AL 35173-1376

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other names 1

  • Kristen A Langner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220725000991 AL Practitioner - Optometry 6002815313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basden EyecareGroup PAC ID 4981627502, 12 clinicians

Practice addresses (Care Compare)

124 16TH St NE
Fayette, AL 35555-1340
Phone (205) 932-5286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-311ALMDOptometrist
046-008752ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince May 16, 2022 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince May 16, 2022 Accepting new patients
Basden Eyecare Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
S. Douglas Owens, M.D., P.C. Past Accepting new patients

Locations

780 N Dean Rd
Auburn, AL 36830
Phone (334) 260-8511

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

1043 US Highway 80 W
Demopolis, AL 36732
Phone (334) 289-0466

124 16th St NE
Fayette, AL 35555
Phone (205) 932-5286

1686 Montgomery Hwy
Hoover, AL 35216
Phone (205) 900-3746

129 N Chalkville Rd
Trussville, AL 35173
Phone (205) 207-5688

322 Main St
Trussville, AL 35173
Phone (205) 445-2020

1490 N Bank Pkwy
Ste 120
Tuscaloosa, AL 35406
Phone (205) 861-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1184614943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731376",
            "telephone_number": "205-445-2020",
            "fax_number": "205-655-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLOCK",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008752",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LANGNER",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.