Active NPI
Karen S Aldridge
Doing business as Prairie Wind Eyecare
- 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
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651126 | Other | KS | BCBS |
| 200418140B | Medicaid | KS | |
| 200418140A | Medicaid | KS |
Other names 1
- Prairie Wind Eyecare
National Provider Directory
National Provider DirectoryLocations
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.