Organization Active NPI

Hall Family Eyecare LLC

  • Optometrist
  • Wichita, KS
National Provider Identifier
1285235358
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HALL FAMILY EYECARE LLC
Practice address
2107 S Seneca St
Wichita, KS 67213-4222
Phone
(316) 264-7300
Fax
(316) 264-3237
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dr. Arraya Paksin-Hall, ODNPI 1851359004
Title
OD/President
Phone
(316) 208-7856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

2107 S Seneca St
Wichita, KS 67213-4222

Mailing address

2107 S Seneca St
Wichita, KS 67213-4222
Phone (316) 264-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201203000458 KS Part B Supplier - Clinic/Group Practice 2961813522 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS
O20210107002576 KS DME Supplier - Physician - Optometrist 2961813522 Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hall Family Eyecare LLC2107 S Seneca St, Wichita, KS 67213-4222(316) 264-7300 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory

Locations

2107 S Seneca St
Wichita, KS 67213
Phone (316) 264-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1285235358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134222",
            "telephone_number": "316-264-7300",
            "fax_number": "316-264-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134222",
            "telephone_number": "316-264-7300",
            "fax_number": "316-264-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "PAKSIN-HALL",
        "authorized_official_first_name": "ARRAYA",
        "authorized_official_title_or_position": "OD/PRESIDENT",
        "authorized_official_telephone_number": "316-208-7856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.