Individual provider Active NPI

April Leigh McKissick, O.D

  • Optometrist
  • Fort Payne, AL
National Provider Identifier
1316399447
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D53-TA-A57 Issued in AL
Practice address
1906 Glenn Blvd SW Ste 100-a
Fort Payne, AL 35968-3545
Phone
(256) 845-5555
Fax
(256) 997-9310
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D53-TA-A57 AL Primary

Addresses

Primary practice location

1906 Glenn Blvd SW Ste 100-a
Fort Payne, AL 35968-3545

Mailing address

1906 Glenn Blvd SW Ste 100-a
Fort Payne, AL 35968-3545
Phone (256) 845-5555

Other names 1

  • Dr. April Leigh Dutton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160927001710 AL Practitioner - Optometry 3274820741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Eye Care LLCGroup PAC ID 4981992120, 2 clinicians

Practice addresses (Care Compare)

802 Glenn Blvd SW
Fort Payne, AL 35967-8489
Phone (256) 845-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D53-TA-A57ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Eye Care, LLC Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Locations

1953 Gault Ave N
Fort Payne, AL 35967
Phone (256) 845-2020

802 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-5555

1906 Glenn Blvd SW
Ste 100A
Fort Payne, AL 35968
Phone (256) 638-4411

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, 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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316399447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 GLENN BLVD SW STE 100-A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683545",
            "telephone_number": "256-845-5555",
            "fax_number": "256-997-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GLENN BLVD SW STE 100-A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683545",
            "telephone_number": "256-845-5555",
            "fax_number": "256-997-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "APRIL",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D53-TA-A57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "DUTTON",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.