Organization Active NPI

Hall Vision Inc

  • Optometrist
  • Murray, KY
National Provider Identifier
1255575031
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1261DT Issued in KY
Legal business name
HALL VISION INC
Practice address
312 N 12TH St
Murray, KY 42071-1916
Phone
(270) 767-9300
Fax
(270) 753-7467
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Benjamin A Hall, O.D.
Title
Owner
Phone
(270) 767-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1261DT KY Primary

Addresses

Primary practice location

312 N 12TH St
Murray, KY 42071-1916

Mailing address

312 N 12TH St
Murray, KY 42071-1916
Phone (270) 767-9300

Other identifiers 1

IdentifierTypeStateIssuer
77012615MedicaidKY

National Provider Directory

National Provider Directory

Locations

312 N 12th St
Murray, KY 42071
Phone (270) 753-4576

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1255575031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711916",
            "telephone_number": "270-767-9300",
            "fax_number": "270-753-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711916",
            "telephone_number": "270-767-9300",
            "fax_number": "270-753-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-767-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1261DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012615",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.