Individual provider Active NPI

Kevin Michael Stratton, OD

  • Optometrist
  • Littleton, NH
National Provider Identifier
1285706762
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0719 Issued in NH
Practice address
104 Meadow St
Littleton, NH 03561-4026
Phone
(603) 444-2592
Fax
(603) 444-0804
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0719 NH Primary

Addresses

Primary practice location

104 Meadow St
Littleton, NH 03561-4026

Mailing address

104 Meadow St
Littleton, NH 03561-4026
Phone (603) 444-2592

Other identifiers 1

IdentifierTypeStateIssuer
30351777MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040816001053 NH Practitioner - Optometry 0143293399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Eye Care, PLLCGroup PAC ID 1951437136, 6 clinicians

Practice addresses (Care Compare)

104 Meadow St
Littleton, NH 03561-4026
Phone (603) 444-2592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0719NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Eye Care, PLLC Optometrist CurrentSince Dec 21, 2009 Accepting new patients
William S Holmes, OD Optometrist PastSince Jan 1, 2010 Accepting new patients

Locations

104 Meadow St
#C
Littleton, NH 03561

104 Meadow St
Littleton, NH 03561
Phone (603) 444-2592

50 Smith St
Woodsville, NH 03785
Phone (603) 747-3190

Interoperability endpoints

  • Direct secure messaging: kevin.stratton@direct.revolutionehr.com

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1285706762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614026",
            "telephone_number": "603-444-2592",
            "fax_number": "603-444-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614026",
            "telephone_number": "603-444-2592",
            "fax_number": "603-444-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30351777",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.