Individual provider Active NPI

Elizabeth ('Kari') Carrigan Hudson, O.D.

  • Optometrist
  • Cleveland, TN
National Provider Identifier
1467595041
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1743 Issued in TN
Practice address
2020 Keith St NW
Cleveland, TN 37311-1351
Phone
(423) 472-6517
Fax
(423) 476-8578
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walter F Peterson OD PC 3 clinicians

Practice addresses (Care Compare)

2020 Keith St NW
Cleveland, TN 37311-1351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080919000520 TN Practitioner - Optometry 8921175720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1743TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Walter F Peterson OD PC Optometrist CurrentSince Feb 18, 2009 Accepting new patients

Locations

2020 Keith St NW
Cleveland, TN 37311
Phone (423) 472-6517

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1743 TN Primary

Addresses

Primary practice location

2020 Keith St NW
Cleveland, TN 37311-1351

Mailing address

2020 Keith St NW
Cleveland, TN 37311-1351
Phone (423) 472-6517

Other names 1

  • Dr. Elizabeth ('Kari') Carrigan Klemm Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2008.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1467595041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111351",
            "telephone_number": "423-472-6517",
            "fax_number": "423-476-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111351",
            "telephone_number": "423-472-6517",
            "fax_number": "423-476-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ELIZABETH ('KARI')",
        "middle_name": "CARRIGAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH ('KARI')",
            "last_name": "KLEMM",
            "middle_name": "CARRIGAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.