Individual provider Active NPI

Lindsay Rae Kibler, OD

  • Optometrist
  • Mansfield, PA
National Provider Identifier
1265796155
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002605 Issued in PA
Practice address
8 S Main St
Mansfield, PA 16933-1530
Phone
(570) 662-3891
Fax
(570) 662-3460
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002605 PA Primary

Addresses

Primary practice location

8 S Main St
Mansfield, PA 16933-1530

Mailing address

8 S Main St
Mansfield, PA 16933-1530
Phone (570) 662-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120827000070 PA Practitioner - Optometry 0840447892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strohecker Vision Care, IncGroup PAC ID 0446233860, 2 clinicians

Practice addresses (Care Compare)

8 S Main St
Mansfield, PA 16933-1508
Phone (570) 662-3891

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strohecker Vision Care, Inc Optometrist CurrentSince Jun 25, 2012 Accepting new patients
Strohecker Vision Care, Inc Optometrist PastSince Jul 2, 2012 Accepting new patients

Locations

209 W Main St
Elkland, PA 16920
Phone (814) 258-5314

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1265796155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331530",
            "telephone_number": "570-662-3891",
            "fax_number": "570-662-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331530",
            "telephone_number": "570-662-3891",
            "fax_number": "570-662-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "LINDSAY",
        "middle_name": "RAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

Verify at the official NPI Registry.