Individual provider Active NPI

Kristina Lovinggood, O.D.

  • Optometrist
  • Selma, AL
National Provider Identifier
1619298049
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C32 Issued in AL
Practice address
801 Dallas Ave
Selma, AL 36701-5454
Phone
(334) 874-7024
Fax
(334) 874-7372
NPI assigned
Jun 21, 2010
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C32 AL Primary

Addresses

Primary practice location

801 Dallas Ave
Selma, AL 36701-5454

Mailing address

801 Dallas Ave
Selma, AL 36701-5454
Phone (334) 874-7024

Other identifiers 1

IdentifierTypeStateIssuer
S-C32OtherAKALABAMA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100921000544 AL Practitioner - Optometry 7012032568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Eyecare Center LLCGroup PAC ID 3072790872, 2 clinicians

Practice addresses (Care Compare)

2401 Medical Ctr Pkwy
Selma, AL 36701-7756
Phone (334) 874-7024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.16 of 100Reported as group
Quality
85.25
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C32ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eyecare Center LLC Optometrist CurrentSince Apr 27, 2011 Accepting new patients

Locations

2401 Medical Center Pkwy
Selma, AL 36701
Phone (334) 872-2321

801 Dallas Ave
Selma, AL 36701
Phone (334) 323-6361

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1619298049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015454",
            "telephone_number": "334-874-7024",
            "fax_number": "334-874-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015454",
            "telephone_number": "334-874-7024",
            "fax_number": "334-874-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVINGGOOD",
        "first_name": "KRISTINA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE",
            "identifier": "S-C32",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.