Active NPI
Benjamin A. Hall, O.D.
- Optometrist
- Murray, KY
National Provider Identifier
1336236306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KY1261DT
- Practice address
- 312 N 12TH St
Murray, KY 42071-1916 - Phone
- (270) 767-9300
- Fax
- (270) 761-4706
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | KY1261DT | KY | Primary |
Addresses
Primary practice location
312 N 12TH St
Murray, KY 42071-1916
Mailing address
PO Box 1531
Murray, KY 42071-0027
Phone (270) 767-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01204985 | Other | KY | RAILROAD MEDICARE PTAN |
| 6706600001 | Other | KY | MEDICARE DME PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1261DT | KY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1336236306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1531",
"city": "MURRAY",
"state": "KY",
"postal_code": "420710027",
"telephone_number": "270-767-9300",
"fax_number": "270-761-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420711916",
"telephone_number": "270-767-9300",
"fax_number": "270-761-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BENJAMIN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "KY1261DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01204985",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME PTAN",
"identifier": "6706600001",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.