Individual provider Active NPI

Kristen Ana Trainer, OD

  • Optometrist
  • Lucedale, MS
National Provider Identifier
1376434613
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1124 Issued in MS
Practice address
727 Winter St
Lucedale, MS 39452-5949
Phone
(601) 947-2913
Fax
(601) 530-1614
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1124 MS Primary

Addresses

Primary practice location

727 Winter St
Lucedale, MS 39452-5949

Mailing address

1113 Central Ave E
Wiggins, MS 39577-9605
Phone (601) 928-3914

Other practice location 1

1113 Central Ave E
Wiggins, MS 39577-9605
Phone (601) 928-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250821004189 MS Practitioner - Optometry 4587164835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vision Center PAGroup PAC ID 6406929744, 5 clinicians

Practice addresses (Care Compare)

1113 Central Ave E
Wiggins, MS 39577-9605
Phone (601) 928-3914

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1124MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Vision Center PA Optometrist CurrentSince Aug 7, 2025 Accepting new patients

Locations

727 Winter St
Lucedale, MS 39452
Phone (601) 947-2913

1113 Central Ave E
Wiggins, MS 39577
Phone (601) 928-3914

Organizations & group practices 1

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1376434613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779605",
            "telephone_number": "601-928-3914",
            "fax_number": "601-716-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525949",
            "telephone_number": "601-947-2913",
            "fax_number": "601-530-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Central Ave E",
            "address_purpose": "LOCATION",
            "city": "Wiggins",
            "state": "MS",
            "postal_code": "395779605",
            "country_code": "US",
            "telephone_number": "601-928-3914",
            "fax_number": "601-716-9824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAINER",
        "first_name": "KRISTEN",
        "middle_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.