Active NPI
Elizabeth ('Kari') Carrigan Hudson, O.D.
- Optometrist
- Cleveland, TN
National Provider Identifier
1467595041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1743
- 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.
-
- Optometrist
- Cleveland, TN
- NPI 1962695916
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
Practice addresses (Care Compare)
2020 Keith St NW
Cleveland, TN 37311-1351
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080919000520 | TN | Practitioner - Optometry | 8921175720 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1743 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter F Peterson OD PC | Optometrist | Current | Accepting new patients |
Locations
2020 Keith St NW
Cleveland, TN 37311
Phone (423) 472-6517
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 | 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
NPI Registry JSON
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.