Individual provider Active NPI

Hailey L. Champion Caudill

  • Optometrist
  • Hindman, KY
National Provider Identifier
1396581872
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2390DT Issued in KY
Practice address
1974 Highway 160 S
Hindman, KY 41822-9045
Phone
(606) 629-4300
Fax
(606) 629-3880
NPI assigned
Jul 3, 2024
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2390DT KY Primary

Addresses

Primary practice location

1974 Highway 160 S
Hindman, KY 41822-9045

Mailing address

PO Box 40
Whitesburg, KY 41858-0040
Phone (606) 633-4823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240821001399 KY Practitioner - Optometry 4082152004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4871

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2390DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince May 17, 2025 Accepting new patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Aug 3, 2024 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Aug 3, 2024 Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince May 17, 2025 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

500 Winchester Ave
Ste 810
Ashland, KY 41101
Phone (606) 324-3672

1974 Highway 160 S
Hindman, KY 41822
Phone (606) 629-4300

2007 S Highway 27
Ste A
Somerset, KY 42501
Phone (606) 678-9953

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

Interoperability endpoints

  • Direct secure messaging: hailey.championcaudillod.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 7

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": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1396581872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418580040",
            "telephone_number": "606-633-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 HIGHWAY 160 S",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418229045",
            "telephone_number": "606-629-4300",
            "fax_number": "606-629-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION CAUDILL",
        "first_name": "HAILEY",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2390DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hindman, KY

Sources for this page

Verify at the official NPI Registry.