Individual provider Active NPI

Kendra M Halepaska, O.D.

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1255575304
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001830 Issued in VA
Practice address
4516 Plank Rd
Fredericksburg, VA 22407-0147
Phone
(540) 371-2020
Fax
(540) 373-0141
NPI assigned
Apr 20, 2009
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001830 VA Primary

Addresses

Primary practice location

4516 Plank Rd
Fredericksburg, VA 22407-0147

Mailing address

110 Cambridge St
Fredericksburg, VA 22405-1924
Phone (540) 371-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120822000809 VA Practitioner - OptometryPractitioner - Ophthalmology 1153475785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Eye Centers IncGroup PAC ID 5193710036, 9 clinicians

Practice addresses (Care Compare)

4516 Plank Rd
Fredericksburg, VA 22407-4812
Phone (540) 786-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Eye Centers, Inc. Optometrist CurrentSince Mar 1, 2019 Accepting new patients
Access Eye Centers, Inc. Optometrist CurrentSince Mar 1, 2019 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Company Optometrist Past Accepting new patients

Locations

110 Cambridge St
Fredericksburg, VA 22405
Phone (540) 371-2020

4516 Plank Rd
Fredericksburg, VA 22407
Phone (540) 371-2020

4701 Spotsylvania Pkwy
Ste 110
Fredericksburg, VA 22407
Phone (540) 371-2020

7961 Kings Hwy
King George, VA 22485
Phone (540) 371-2020

2761 Richmond Hwy
Ste 205
Stafford, VA 22554
Phone (540) 371-2020

Organizations & group practices 4

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1255575304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051924",
            "telephone_number": "540-371-2020",
            "fax_number": "540-373-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070147",
            "telephone_number": "540-371-2020",
            "fax_number": "540-373-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEPASKA",
        "first_name": "KENDRA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.