Organization Active NPI

Karen S Aldridge

  • 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
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.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
200418140BMedicaidKS
651126OtherKSBCBS
200418140AMedicaidKS

Other names 1

NPPES NPI Registry
  • Prairie Wind Eyecare Doing business as

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.

Verify at the official NPI Registry.