Individual provider Active NPI

Kayla Egner Akers, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1356791933
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003180 Issued in PA
Practice address
638 W Addison St
Apt 31
Chicago, IL 60613-4565
Phone
(931) 624-9038
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003180 PA Primary

Addresses

Primary practice location

638 W Addison St
Apt 31
Chicago, IL 60613-4565

Mailing address

638 W Addison St
Apt 31
Chicago, IL 60613-4565
Phone (931) 624-9038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170616000509 IN Practitioner - Optometry 1355619388 Reassigns benefits to 1 organization
I20180921002550 GA Practitioner - Optometry 1355619388 Reassigns benefits to 2 organizations

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
Marietta Eye Clinic, PAGroup PAC ID 0143210427, 39 clinicians

Practice addresses (Care Compare)

895 Canton Rd NE
BLDG 100
Marietta, GA 30060-8935
Phone (770) 427-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003180PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Eye Clinic PA CurrentSince Sep 4, 2018 Accepting new patients
Munster Eye Care Associates, P.C. Optometrist CurrentSince Jun 8, 2017 Accepting new patients
Mark Lynn OD & Associates, PC Optometrist CurrentSince Jul 31, 2018 Accepting new patients
Mark Lynn O.D. & Associates, PC CurrentSince Jul 31, 2018 Accepting new patients
Marietta Eye Clinic, PA Optometrist CurrentSince Sep 4, 2018 Accepting new patients
Marietta Eye Clinic PA Current Accepting new patients
Munster Eye Care Associates, P.C. Optometrist CurrentSince Jun 8, 2017 Accepting new patients
Marietta Eye Clinic, PA Optometrist Past Accepting new patients
Marietta Eye Clinic, PA Optometrist Past Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1104
Acworth, GA 30101
Phone (678) 279-1141

100 Old Ball Ground Hwy
Canton, GA 30114
Phone (770) 479-2195

100 Old Ball Ground Hwy
#A
Canton, GA 30114

8841 Hospital Dr
Douglasville, GA 30134
Phone (770) 577-2200

47 Highland Pavilion Ct
Ste 101
Hiram, GA 30141

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

1950 Spectrum Cir SE
Ste 150
Marietta, GA 30067
Phone (770) 952-6851

2453 Powder Springs Rd SW
Ste 400
Marietta, GA 30064
Phone (770) 801-0700

2520 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (770) 952-6851

3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000

895 Canton Rd NE
Marietta, GA 30060
Phone (770) 591-6583

895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

10485 Alpharetta St
Roswell, GA 30075
Phone (678) 439-2443

2990 Eagle Dr
Ste 110
Woodstock, GA 30189
Phone (678) 460-4810

759 45th St
Ste 101
Munster, IN 46321
Phone (219) 922-6226

Organizations & group practices 9

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1356791933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W ADDISON ST",
            "address_2": "APT 31",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134565",
            "telephone_number": "931-624-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W ADDISON ST",
            "address_2": "APT 31",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134565",
            "telephone_number": "931-624-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERS",
        "first_name": "KAYLA",
        "middle_name": "EGNER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.