Individual provider Active NPI

Krystal Renae Hoover, OD

  • Optometrist
  • Little Elm, TX
National Provider Identifier
1700364692
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9569TG Issued in TX
Practice address
3010 FM 423 Ste 200
Little Elm, TX 75068-6705
Phone
(469) 786-2020
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9569TG TX Primary

Addresses

Primary practice location

3010 FM 423 Ste 200
Little Elm, TX 75068-6705

Mailing address

PO Box 266
Prosper, TX 75078-0266

Other names 1

  • Dr. Krystal Renae Arend Former name

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
I20180822001708 TX Practitioner - Optometry 3678822715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3010 FM
423 Suite 200
Little Elm, TX 75068-6705
Phone (469) 786-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9569TXMDChiropractor
9569TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Partners, PLLC. Optometrist CurrentSince May 26, 2024 Accepting new patients
Vision Care Group of Texas, PLLC Optometrist CurrentSince Oct 12, 2020 Accepting new patients

Locations

3010 FM 423
Ste 200
Little Elm, TX 75068
Phone (469) 786-2020

3620 W 1st St
Ste 60
Prosper, TX 75078
Phone (469) 715-0775

Interoperability endpoints

  • Direct secure messaging: krystal.hoover@uprisedirect.com

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1700364692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FM 423 STE 200",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686705",
            "telephone_number": "469-786-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "KRYSTAL",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9569TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "AREND",
            "middle_name": "RENAE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.