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
- Last updated
- Feb 23, 2024
- 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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 | Vision Therapy Optometrist |
| 2690 | TN | MD | Physician Assistant |
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
100 North Ave
Battle Creek, MI 49017
Phone (269) 288-8400
100 North Ave
Ste E
Battle Creek, MI 49017
Phone (269) 962-7595
65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003
7055 Tower Rd
Ste E
Battle Creek, MI 49014
Phone (269) 968-8183
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 3
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": "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.