Active NPI
Kristy N Booker, LDO
- Optician
- Mansfield, OH
National Provider Identifier
1326280603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- S6504
- Practice address
- 339 N Lexington Springmill Rd
Mansfield, OH 44906-1218 - Phone
- (419) 525-2060
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | S6504 | OH | Primary |
Addresses
Primary practice location
339 N Lexington Springmill Rd
Mansfield, OH 44906-1218
Mailing address
339 N Lex-Springmill Rd
Mansfield, OH 44903
Phone (419) 525-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6504 | OH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonardi Group, Inc | Past | Accepting new patients | |
| Shelia a. Fuller, O.D., L.L.C | Past | Accepting new patients |
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": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1326280603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 N LEX-SPRINGMILL RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44903",
"telephone_number": "419-525-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 N LEXINGTON SPRINGMILL RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449061218",
"telephone_number": "419-525-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "KRISTY",
"middle_name": "N",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "S6504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.