Individual provider Active NPI

Katelyn Hurliman, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1679126536
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002370 Issued in AZ
Practice address
1370 N Silverbell Rd Ste 140
Tucson, AZ 85745-2290
Phone
(520) 882-7700
Fax
(520) 882-5793
NPI assigned
Jul 19, 2019
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 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 OPT-002370 AZ Primary

Addresses

Primary practice location

1370 N Silverbell Rd Ste 140
Tucson, AZ 85745-2290

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190819002982 AZ Practitioner - Optometry 7911235692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Havasu Family Eyecare LLCGroup PAC ID 0749220051, 10 clinicians

Practice addresses (Care Compare)

7552 N Lacholla Blvd
Tucson, AZ 85741
Phone (520) 744-1711

Merit-based Incentive Payment System (MIPS)

Final score
82.83 of 100Reported as group
Quality
65.65
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002370AZMDOptometrist

Interoperability endpoints

  • Direct secure messaging: dr.katelyn.hurliman@direct.eyecare-partners.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1679126536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N SILVERBELL RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452290",
            "telephone_number": "520-882-7700",
            "fax_number": "520-882-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLIMAN",
        "first_name": "KATELYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.