Individual provider Active NPI

Kristie L Teets, O.D.

  • Optometrist
  • Hershey, PA
National Provider Identifier
1346377231
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001656 Issued in PA
Practice address
825 Fishburn Rd
Hershey, PA 17033-2015
Phone
(717) 533-5200
Fax
(717) 533-2606
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12783 T CA
Optometrist 152W00000X OEG001656 PA Primary

Addresses

Primary practice location

825 Fishburn Rd
Hershey, PA 17033-2015

Mailing address

825 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 533-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161208000138 PA Practitioner - Optometry 5698055630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conestoga Eye PCGroup PAC ID 1456669894, 7 clinicians

Practice addresses (Care Compare)

2104 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 541-9700

825 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 541-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12783 TCAMDOptometrist
OEG001656PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Conestoga Eye PC CurrentSince Apr 15, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

338 Alexander Spring Rd
#A
Carlisle, PA 17015
Phone (717) 541-9700

825 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-5200

2104 Spring Valley Rd
Lancaster, PA 17601
Phone (717) 541-9700

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1346377231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FISHBURN RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332015",
            "telephone_number": "717-533-5200",
            "fax_number": "717-533-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FISHBURN RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332015",
            "telephone_number": "717-533-5200",
            "fax_number": "717-533-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETS",
        "first_name": "KRISTIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12783 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.