Breanna Kahle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011576 Issued in IL

Practice address

13327 Il-59 N
Suite 111
Plainfield, IL 60585

Phone

(406) 253-1087

NPI assigned

Jun 19, 2020

Last updated

Apr 5, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, AL2 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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashley Ott OD LLCGroup PAC ID 0042641243, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ashley Ott OD LLC

  dba Robertsdale Eye Care

  • Optometrist
  • Robertsdale, AL
  • NPI 1033745773
  Medicare reassignment Care Compare group NPD
• Naomi G Barnes, OD

  • Optometrist
  • Whitefish, MT
  • NPI 1851322648
  Medicare reassignment

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1760008312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 LANE PL UNIT 1",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154892",
            "telephone_number": "406-253-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13327 IL-59 N",
            "address_2": "SUITE 111",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "406-253-1087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 2nd St E Ste B",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599372415",
            "country_code": "US",
            "telephone_number": "406-862-3346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHLE",
        "first_name": "BREANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-04-05",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-3894",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Jurkovic, PHARMD
• Ka-Dash Hospice LLC
• Justine Marie Kaczmarek
• Jennifer J Kaczmarski, RPH
• Tasneem A Kagalwalla
• Varun Kumar Kalhan, DO
• Karen N Kallmann
• Adeel Kamal, PA-C
• Lauren Kaplan, PSYD
• Heidi Kaplar, HEIDI KAPLAR, SLPA

• Optometrist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.