Karli Hubka, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2007 Issued in KS

Practice address

532 Lincoln Ave
Clay Center, KS 67432-2902

Phone

(888) 749-7755

Fax

(816) 817-1519

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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.

• Smithville Eye Center LLC

  • Optometrist
  • Smithville, MO
  • NPI 1801992573

  KS

  Medicare reassignment Care Compare group

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smithville Eye Center LLC 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2015.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1740662972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640891095",
            "telephone_number": "888-749-7755",
            "fax_number": "816-817-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 LINCOLN AVE",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322902",
            "telephone_number": "888-749-7755",
            "fax_number": "816-817-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBKA",
        "first_name": "KARLI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiesterman Family Eye Care, LLC
• Ryan Lee Hiesterman, O.D.
• Haley Jordan Hogan
• Stephanie Hope, OTR/L
• Alya M Houghton, APRN
• Sarah Michelle Hunt
• John M. Wertin, D.C., P.a.
• Linda M Johnston, DC
• John Kelley, M.D.
• Nicole Kennedy

• All providers in Clay Center, KS
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.