Individual provider Active NPI

Kamden Machelle Badger, OD

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1477292563
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3743 Issued in TN
Practice address
4626 Mill Branch LN
Knoxville, TN 37938-3200
Phone
(865) 922-7765
NPI assigned
May 27, 2022
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3743 TN Primary

Addresses

Primary practice location

4626 Mill Branch LN
Knoxville, TN 37938-3200

Mailing address

738 300TH St
Bagley, IA 50026-8016
Phone (515) 370-5548

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
I20220615002282 TN Practitioner - Optometry 3870972219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halls Vision Clinic, Inc.Group PAC ID 5092890368, 3 clinicians

Practice addresses (Care Compare)

4626 Mill Branch LN
Knoxville, TN 37938-3200
Phone (865) 922-7765

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3743TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halls Vision Clinic, Inc. Optometrist CurrentSince Jun 8, 2022 Accepting new patients

Locations

4626 Mill Branch Ln
Knoxville, TN 37938
Phone (865) 922-7765

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, 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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1477292563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 300TH ST",
            "city": "BAGLEY",
            "state": "IA",
            "postal_code": "500268016",
            "telephone_number": "515-370-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 MILL BRANCH LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383200",
            "telephone_number": "865-922-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGER",
        "first_name": "KAMDEN",
        "middle_name": "MACHELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.