Individual provider Active NPI

Kristen Hatton, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1669033171
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9867T Issued in TX
Practice address
7140 Preston Rd Ste 300
Plano, TX 75024-3285
Phone
(972) 312-0177
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9867T TX Primary

Addresses

Primary practice location

7140 Preston Rd Ste 300
Plano, TX 75024-3285

Mailing address

3198 Parkwood Blvd Apt 13039
Frisco, TX 75034-9528
Phone (937) 546-1246

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
I20200603003288 TX Practitioner - Optometry 1557782380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhavesh Patel OD PLLCGroup PAC ID 6608016738, 2 clinicians

Practice addresses (Care Compare)

12584 N Beach St
Suite 122
Fort Worth, TX 76244-4251
Phone (817) 431-4100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9867TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bhavesh Patel OD PLLC Optometrist CurrentSince Apr 1, 2023 Accepting new patients
Charles Shidlofsky O.D., P.a. Optometrist PastSince Nov 10, 2003 Accepting new patients

Locations

12584 N Beach St
Ste 122
Fort Worth, TX 76244
Phone (817) 203-2716

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1669033171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 PARKWOOD BLVD APT 13039",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349528",
            "telephone_number": "937-546-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243285",
            "telephone_number": "972-312-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTON",
        "first_name": "KRISTEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9867T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.