Individual provider Active NPI

Katelyn Palmer, OD

  • Optometrist
  • Salem, VA
National Provider Identifier
1588224026
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002784 Issued in VA
Practice address
101 W 4TH St
Salem, VA 24153-3638
Phone
(540) 387-1183
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002784 VA Primary

Addresses

Primary practice location

101 W 4TH St
Salem, VA 24153-3638

Mailing address

16854 Sugar Bottom Rd
Ste Genevieve, MO 63670-8528
Phone (573) 883-0652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190926000997 VA Practitioner - Optometry 5597095000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Salem, IncGroup PAC ID 4688683741, 5 clinicians

Practice addresses (Care Compare)

101 W 4TH St
Salem, VA 24153-4907
Phone (540) 387-1183

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002784VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Salem, Inc Optometrist CurrentSince Sep 3, 2019 Accepting new patients

Locations

101 W 4th St
Salem, VA 24153
Phone (540) 387-1183

Interoperability endpoints

  • Direct secure messaging: kpalmer@invisionsalem.eyefinity-direct.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1588224026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16854 SUGAR BOTTOM RD",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708528",
            "telephone_number": "573-883-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 4TH ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533638",
            "telephone_number": "540-387-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATELYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.