Active NPI
Hailey L. Champion Caudill
- Optometrist
- Hindman, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2390DT
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2390DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Mountain Comprehensive Health Corporation | Current | Accepting new patients | |
| Ky Doctors of Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Ky Doctors of Optometry, PLLC | Optometrist | Current | Accepting new patients |
| Mountain Comprehensive Health Corporation | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Whitesburg, KY
- NPI 1417900242
-
dba Visionworks Drs of Optometry
- Eyewear Supplier
- St Matthews, KY
- NPI 1801610985
Optometrist
-
dba Mountain Comprehensive Specialty Services
- Pulmonary Disease Physician
- Whitesburg, KY
- NPI 1033166350
-
dba Elkhorn City Optometry Clinic
- Primary Care Clinic/Center
- Elkhorn City, KY
- NPI 1215818414
-
dba Pineville Medical Clinic
- Primary Care Clinic/Center
- Pineville, KY
- NPI 1932575784
-
dba KY Doctors of Optometry
- Eyewear Supplier
- Ashland, KY
- NPI 1699086629
Optometrist
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
- Anna Jones
- Appalachian Rehabilitation Team, Inc (East Kentucky Physical Therapy and Sports Clinic)
- Barbara Jones
- Kenneth Boggs, PHARM.D.
- Burnice Napier, Inc. Dba Napier Family Drug
- Angie Ceelok Chan
- Kurt R Childress, DMD
- Victoria Alexis Click, OTR/L
- Melissa Candis Collett, APRN
- Kristen Danielle Combs, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.