Active NPI
Kristen Elizabeth Haskins Hillis, O.D.
- Optometrist
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005426
- Practice address
- 100 North Ave
Battle Creek, MI 49017-3417 - Phone
- (269) 962-7595
- Fax
- (269) 963-9202
- NPI assigned
- Jun 28, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000002690 | TN | |
| Pediatric Optometrist | 152WP0200X | OD0000002690 | TN | |
| Sports Vision Optometrist | 152WS0006X | OD0000002690 | TN | |
| Vision Therapy Optometrist | 152WV0400X | OD0000002690 | TN | |
| Optometrist | 152W00000X | 4901005426 | MI | Primary |
Addresses
Primary practice location
100 North Ave
Battle Creek, MI 49017-3417
Mailing address
8614 Westwood Center Dr
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- Kristen Elizabeth Haskins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200831001502 | MI | Practitioner - Optometry | 4880775907 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Myeyedr Optometry of Michigan LLC
Practice addresses (Care Compare)
65 Columbia Ave E
Battle Creek, MI 49015-3705
Phone (269) 965-5106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0000002690 | TN | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
Locations
7055 Tower Rd
Ste E
Battle Creek, MI 49014
Phone (269) 968-8183
100 North Ave
Ste E
Battle Creek, MI 49017
Phone (269) 962-7595
100 North Ave
Battle Creek, MI 49017
Phone (269) 288-8400
65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003
800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890
5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631
2008 Washington Ave
Saint Joseph, MI 49085
Phone (269) 983-1303
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 11
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.
-
- Optometrist
- Plainwell, MI
- NPI 1013592534
-
- Optometrist
- Kalamazoo, MI
- NPI 1033794540
-
- Optometrist
- Niles, MI
- NPI 1053996579
-
- Optometrist
- Saint Joseph, MI
- NPI 1376128801
-
- Optometrist
- Sturgis, MI
- NPI 1730764267
-
- Optometrist
- Grandville, MI
- NPI 1740865237
-
- Optometrist
- Battle Creek, MI
- NPI 1821673302
-
- Optometrist
- Three Rivers, MI
- NPI 1821673351
-
- Optometrist
- Clarkston, MI
- NPI 1215753553
-
- Optometrist
- Battle Creek, MI
- NPI 1891372066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1457558041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173417",
"telephone_number": "269-962-7595",
"fax_number": "269-963-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIS",
"first_name": "KRISTEN",
"middle_name": "ELIZABETH HASKINS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2024-02-23",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000002690",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TN",
"license": "OD0000002690",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TN",
"license": "OD0000002690",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TN",
"license": "OD0000002690",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "HASKINS",
"middle_name": "ELIZABETH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.