Kendra Deon Powell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0P2574 Issued in NM

Practice address

1002 W Main St
Artesia, NM 88210-1868

Phone

(575) 748-1225

Fax

(575) 746-6454

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Site LLC

  • Optometrist
  • Artesia, NM
  • NPI 1992872378
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1366525438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101868",
            "telephone_number": "575-748-1225",
            "fax_number": "575-746-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101868",
            "telephone_number": "575-748-1225",
            "fax_number": "575-746-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KENDRA",
        "middle_name": "DEON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "0P2574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00PA38",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pecos Valley Regional Education Coop 8
• Rebecca Perez, RN
• Julie Phelps, CNP
• Margaret Sarah Porte, OCCUPATIONAL THERAPI
• Arren R Powell, PTA
• Presbyterian Medical Services
• Proactive MD NM, LLC
• Kaylin Prosser
• Raburn Family Chiropractic LLC
• Justin Shane Raburn, D.C.

• Optometrist in Artesia, NM
• Providers in Artesia, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.