Individual provider Active NPI

Kathryn Kay Hutchins, O.D.

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1508350950
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2774 Issued in AR
Practice address
17711 Chenal Pkwy Ste I117
Little Rock, AR 72223
Phone
(501) 687-0826
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2774 AR Primary

Addresses

Primary practice location

17711 Chenal Pkwy Ste I117
Little Rock, AR 72223

Mailing address

17711 Chenal Pkwy Ste I117
Little Rock, AR 72223-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180711000419 AR Practitioner - Optometry 9638425309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie M Dolven OD PAGroup PAC ID 9830415884, 2 clinicians

Practice addresses (Care Compare)

17711 Chenal Pkwy
Suite I117
Little Rock, AR 72223-5810
Phone (501) 687-0826

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julie M Dolven, OD PA Optometrist CurrentSince Jun 27, 2018 Accepting new patients
James Eyecare Center, Inc Optometrist PastSince Jun 27, 2018 Accepting new patients

Locations

17711 Chenal Pkwy
Ste I117
Little Rock, AR 72223
Phone (501) 687-0826

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1508350950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 CHENAL PKWY STE I117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17711 CHENAL PKWY STE I117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-687-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "KATHRYN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.