Individual provider Active NPI

Karisa Ann Hall

  • Optometrist
  • Logansport, IN
National Provider Identifier
1245678267
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003789A Issued in IN
Practice address
444 Mall Rd
Logansport, IN 46947-2241
Phone
(574) 722-3937
NPI assigned
Jun 12, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003789A IN Primary

Addresses

Primary practice location

444 Mall Rd
Logansport, IN 46947-2241

Mailing address

1327 Main St
Rochester, IN 46975-2107
Phone (574) 224-3937

Other practice location 1

1327 Main St
Rochester, IN 46975-2107
Phone (574) 224-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131125001445 IN Practitioner - Optometry 3274769187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Eye Care IncGroup PAC ID 9830169234, 33 clinicians

Practice addresses (Care Compare)

1327 Main St
Rochester, IN 46975-2107
Phone (574) 224-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price & Shepler Family Eye Care LLC Optometrist CurrentSince Jun 19, 2013 Accepting new patients
DRS Price & Shepler Family Eye Care LLC Optometrist CurrentSince Jun 19, 2013 Accepting new patients
Evans Eye Care Inc Optometrist CurrentSince May 5, 2025 Accepting new patients

Locations

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

444 Mall Rd
Logansport, IN 46947
Phone (219) 722-3937

444 Mall Rd
Ste 1
Logansport, IN 46947
Phone (574) 722-3937

1327 Main St
Rochester, IN 46975
Phone (574) 223-3916

Organizations & group practices 3

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245678267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 MAIN ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469752107",
            "telephone_number": "574-224-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MALL RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472241",
            "telephone_number": "574-722-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Main St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "IN",
            "postal_code": "469752107",
            "country_code": "US",
            "telephone_number": "574-224-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KARISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003789A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.