Individual provider Active NPI

Karen Lynne Darrell, O.D.

  • Optometrist
  • West Grove, PA
National Provider Identifier
1467411751
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001223 Issued in DE
Practice address
57 Jenners Village Ctr
West Grove, PA 19390-8102
Phone
(610) 869-4200
Fax
(610) 869-2511
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I30001223 DE Primary

Addresses

Primary practice location

57 Jenners Village Ctr
West Grove, PA 19390-8102

Mailing address

209 N Creek Rd
Landenberg, PA 19350-9605
Phone (610) 274-8385

Other identifiers 3

IdentifierTypeStateIssuer
654386OtherDEMEDICARE GROUP PIN
19604OtherMIDATLANTIC
5739408OtherAETNA

Other names 1

  • Karen Lynne Kwiatkowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211115001729 PA Practitioner - Optometry 4981788874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric R. Miller, OD, PCGroup PAC ID 3476591397, 5 clinicians

Practice addresses (Care Compare)

57 Jenners Village Ctr
West Grove, PA 19390-8102
Phone (610) 869-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R. Miller, OD, PC Optometrist CurrentSince Nov 29, 2021 Accepting new patients
Eric R. Miller, OD, PC PastSince Nov 29, 2021 Accepting new patients
Joseph G. Goldberg O.D. Optometrist PastSince Jul 1, 2015 Accepting new patients

Locations

57 Jenners Village Ctr
West Grove, PA 19390
Phone (610) 869-4200

Interoperability endpoints

  • Direct secure messaging: kld@millereyecareonline.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1467411751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CREEK RD",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193509605",
            "telephone_number": "610-274-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CTR",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908102",
            "telephone_number": "610-869-4200",
            "fax_number": "610-869-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRELL",
        "first_name": "KAREN",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "654386",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDATLANTIC",
            "identifier": "19604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5739408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KWIATKOWSKI",
            "middle_name": "LYNNE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.