Individual provider Active NPI

Lizbeth J Kuhn Hemmelgarn, OD

  • Optometrist
  • New Carlisle, OH
National Provider Identifier
1710966585
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5397/T2308 Issued in OH
Practice address
102 E Lake Ave
New Carlisle, OH 45344-1417
Phone
(937) 845-0751
Fax
(937) 845-2931
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5397/T2308 OH Primary

Addresses

Primary practice location

102 E Lake Ave
New Carlisle, OH 45344-1417

Mailing address

102 E Lake Ave
New Carlisle, OH 45344-1417
Phone (937) 845-0751

Other identifiers 1

IdentifierTypeStateIssuer
5397/T2308OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041020000377 OH Practitioner - Optometry 0244291607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springboro Vision, LLCGroup PAC ID 6507120169, 6 clinicians

Practice addresses (Care Compare)

245 N Main St
Suite 300
Springboro, OH 45066-9171
Phone (937) 748-2955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5397/T2308OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Vision Center, LLC Optometrist CurrentSince Aug 5, 2024 Accepting new patients
Springboro Vision, LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Lebanon Vision Center, LLC Optometrist Past Accepting new patients
Kara S Hampton Optometrist Past Accepting new patients

Locations

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3886

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

Organizations & group practices 4

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1710966585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E LAKE AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441417",
            "telephone_number": "937-845-0751",
            "fax_number": "937-845-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAKE AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441417",
            "telephone_number": "937-845-0751",
            "fax_number": "937-845-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHN HEMMELGARN",
        "first_name": "LIZBETH",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5397/T2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5397/T2308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.