Organization Active NPI

Karen S Aldridge

Doing business as Prairie Wind Eyecare

  • Optometrist
  • Hill City, KS
National Provider Identifier
1497772156
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KAREN S ALDRIDGE
Doing business as
Prairie Wind Eyecare
Practice address
302 N Pomeroy St
Hill City, KS 67642-1720
Phone
(785) 421-3406
Fax
(785) 421-5547
NPI assigned
Jul 17, 2006
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Virgil J Aldridge
Title
Admin
Phone
(785) 421-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary 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

IdentifierTypeStateIssuer
651126OtherKSBCBS
200418140BMedicaidKS
200418140AMedicaidKS

Other names 1

  • Prairie Wind Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

302 N Pomeroy Ave
Hill City, KS 67642
Phone (785) 421-3406

Ownership & related parties

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.

NPI Registry JSON

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

{
    "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": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "651126",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418140B",
            "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.

Verify at the official NPI Registry.