Aaron Todd Kallner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4988 Issued in OH

Practice address

2002 Robinson Ave
Portsmouth, OH 45662-3650

Phone

(740) 353-5351

Fax

(740) 353-8647

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Boston Vision Center LLCGroup PAC ID 8426307695, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Boston Vision Center LLC

  • Optometrist
  • New Boston, OH
  • NPI 1073013603
  Medicare reassignment Care Compare group NPD
• Clyde M. Fenton, O.D.

  • Optometrist
  • Portsmouth, OH
  • NPI 1457513871
  NPD (past)
• David Depugh

  • Optometrist
  • New Boston, OH
  • NPI 1063603876
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1225199607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ROBINSON AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623650",
            "telephone_number": "740-353-5351",
            "fax_number": "740-353-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ROBINSON AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623650",
            "telephone_number": "740-353-5351",
            "fax_number": "740-353-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLNER",
        "first_name": "AARON",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2613970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas July, CNP
• Tanika Shay Justice
• James Roger Kadel, D.D.S.
• Yousef Kalid Kaid, M.D
• Rebecca Renee Kalb, MSN, FNP-C
• Kriti Kalra-Sehgal, MD
• Sarah Lindsay Kaltenbach, C.N.P.
• Kevin William Kammler, D.O.
• Hong Sik Kang, MD
• Adam Joseph Kantor, OTR/L

• Optometrist in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.