Individual provider Active NPI

Kristel Whitley Causby, OD

  • Optometrist
  • Clyde, NC
National Provider Identifier
1225023310
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1595 Issued in NC
Practice address
486 Hospital Dr
Clyde, NC 28721-8026
Phone
(828) 452-5816
Fax
(828) 452-0373
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1595 NC Primary

Addresses

Primary practice location

486 Hospital Dr
Clyde, NC 28721-8026

Mailing address

486 Hospital Dr
Clyde, NC 28721-8026
Phone (828) 452-5816

Other identifiers 1

IdentifierTypeStateIssuer
890909FMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100804001259 NC Practitioner - Optometry 6406989821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Eye Associates PLLCGroup PAC ID 9638154453, 7 clinicians

Practice addresses (Care Compare)

486 Hospital Dr
Clyde, NC 28721-8026
Phone (828) 452-5816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Eye Associates, PLLC. Optometrist CurrentSince Jul 2, 1996 Accepting new patients
Mountain Eye Associates PLLC CurrentSince Jul 2, 1996 Accepting new patients

Locations

486 Hospital Dr
Clyde, NC 28721
Phone (828) 255-2586

1898 S Main St
Waynesville, NC 28786
Phone (828) 283-0563

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1225023310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-452-5816",
            "fax_number": "828-452-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 HOSPITAL DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218026",
            "telephone_number": "828-452-5816",
            "fax_number": "828-452-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSBY",
        "first_name": "KRISTEL",
        "middle_name": "WHITLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890909F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.