Kristen Purdy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003272 Issued in GA

Practice address

1909 Gloucester St
Brunswick, GA 31520-6906

Phone

(912) 275-7741

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Eye Center PAGroup PAC ID 2163896101, 2 clinicians

River City Vision Center PAGroup PAC ID 8820135353, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clarity Eye Center PA

  • Optometrist
  • Orange Park, FL
  • NPI 1902438286
  Medicare reassignment Care Compare group NPD
• River City Vision Center PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1649504804
  Medicare reassignment Care Compare group NPD
• Parmelee Eye Care LLC

  dba Glynn Eye Care

  • Point of Service
  • Brunswick, GA
  • NPI 1447618525
  Medicare reassignment NPD
• Dr. Muneer Hanna and Associates PA

  dba Hanna Eye Care

  • Vision Therapy Optometrist
  • Jacksonville, FL
  • NPI 1760654016
  Medicare reassignment NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1700497286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206906",
            "telephone_number": "912-275-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "KRISTEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primedoc of Brunswick Inc
• Project Play ABA LLC
• Natalie Propp
• Psalm719, Inc. (Home Instead Senior Care)
• Publix Super Markets Inc (Publix Pharmacy #0431)
• Qualified Health Home Care, LLC (Qualified Health)
• Quality Home Health Care Inc (Southern Home Respiratory)
• Ashlee J Quick, NP
• Tracy Kristina Quintanar, LCSW
• R.M. Buntin, DDS, PC

• Optometrist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.