Active NPI
Lizbeth J Kuhn Hemmelgarn, OD
- Optometrist
- New Carlisle, OH
National Provider Identifier
1710966585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5397/T2308
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5397/T2308 | Other | OH | LICENSE |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5397/T2308 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Vision Center, LLC | Optometrist | Current | Accepting new patients |
| Springboro Vision, LLC | Optometrist | Current | 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.
-
- Optometrist
- Springboro, OH
- NPI 1053817478
-
- Optometrist
- Mason, OH
- NPI 1215385836
-
- Optometrist
- Lebanon, OH
- NPI 1013641703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.