Individual provider Active NPI

Ki Hargis

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1659933489
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9786T Issued in TX
Practice address
1900 S Coulter St Ste I
Amarillo, TX 79106-1751
Phone
(806) 355-9411
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 9786T TX Primary

Addresses

Primary practice location

1900 S Coulter St Ste I
Amarillo, TX 79106-1751

Mailing address

1900 S Coulter St Ste I
Amarillo, TX 79106-1751
Phone (806) 355-9411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190730000979 TX Practitioner - Optometry 3779819792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Eye Associates PAGroup PAC ID 2264460005, 3 clinicians

Practice addresses (Care Compare)

1900 S Coulter St
Suite I
Amarillo, TX 79106-1751
Phone (806) 355-9411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9786TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Eye Associates, P.a. Optometrist CurrentSince Jun 27, 2019 Accepting new patients

Locations

1900 S Coulter St
Ste I
Amarillo, TX 79106
Phone (806) 355-9411

Interoperability endpoints

  • Direct secure messaging: khargis@medcentereye.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1659933489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST STE I",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061751",
            "telephone_number": "806-355-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST STE I",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061751",
            "telephone_number": "806-355-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "KI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9786T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.