Active NPI
Karen S Aldridge
- Optometrist
- Hill City, KS
National Provider Identifier
1497772156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KAREN S ALDRIDGE
- Practice address
- 302 N Pomeroy St
Hill City, KS 67642-1720 - Phone
- (785) 421-3406
- Fax
- (785) 421-5547
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Virgil J Aldridge
- Title
- Admin
- Phone
- (785) 421-3406
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Optometrist
- Hill City, KS
- NPI 1114031028
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
302 N Pomeroy St
Hill City, KS 67642-1720
Mailing address
302 N Pomeroy St
Hill City, KS 67642-1720
Phone (785) 421-3406
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200418140B | Medicaid | KS | |
| 651126 | Other | KS | BCBS |
| 200418140A | Medicaid | KS |
Other names 1
NPPES NPI Registry- Prairie Wind Eyecare
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2008.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1497772156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N POMEROY ST",
"city": "HILL CITY",
"state": "KS",
"postal_code": "676421720",
"telephone_number": "785-421-3406",
"fax_number": "785-421-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N POMEROY ST",
"city": "HILL CITY",
"state": "KS",
"postal_code": "676421720",
"telephone_number": "785-421-3406",
"fax_number": "785-421-5547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN S ALDRIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "ALDRIDGE",
"authorized_official_first_name": "VIRGIL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "785-421-3406"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200418140B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "651126",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200418140A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prairie Wind Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hill City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.