Active NPI
Kenneth R. Hill, O.D.
- Optometrist
- Tulsa, OK
National Provider Identifier
1669495313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 830
- Practice address
- 316 W 71St St.
Tulsa, OK 74132-2008 - Phone
- (918) 446-3171
- Fax
- (918) 446-5938
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 830 | OK | Primary |
Addresses
Primary practice location
316 W 71St St.
Tulsa, OK 74132-2008
Mailing address
316 W 71St St
Tulsa, OK 74132-2008
Phone (918) 446-3171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730793648-001 | Other | OK | BC/BS |
| 1669495313 | Other | OK | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830 | OK | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1669495313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W 71ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741322008",
"telephone_number": "918-446-3171",
"fax_number": "918-446-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W 71ST ST.",
"city": "TULSA",
"state": "OK",
"postal_code": "741322008",
"telephone_number": "918-446-3171",
"fax_number": "918-446-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KENNETH",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "730793648-001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1669495313",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.