Individual provider Active NPI

Karah Hill Hiatt, O.D.

  • Optometrist
  • Hattiesburg, MS
National Provider Identifier
1649525015
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
848 Issued in MS
Practice address
102 N 38TH Ave Ste I
Hattiesburg, MS 39401-6700
Phone
(601) 264-6688
Fax
(601) 264-3393
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 848 MS Primary

Addresses

Primary practice location

102 N 38TH Ave Ste I
Hattiesburg, MS 39401-6700

Mailing address

9 Yaupon PT
Petal, MS 39465-9447
Phone (601) 485-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20120925000121 MS Practitioner - Optometry 8527216118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hattiesburg, MS 39401
Phone (601) 264-6688

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
Karah Hill Hiatt OD PLLC Optometrist CurrentSince Mar 20, 2018 Accepting new patients
Primary Eyecare & Optical of Meridian, P.a. Optometrist PastSince Mar 10, 2008 Accepting new patients
Primary Eyecare South LLC Optometrist PastSince Aug 2, 2020 Accepting new patients

Locations

102 N 38th Ave
Ste I
Hattiesburg, MS 39401
Phone (601) 264-6688

Organizations & group practices 3

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1649525015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 YAUPON PT",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394659447",
            "telephone_number": "601-485-2020",
            "fax_number": "601-264-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 38TH AVE STE I",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016700",
            "telephone_number": "601-264-6688",
            "fax_number": "601-264-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "KARAH",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.