Individual provider Active NPI

Kristen Oblad Lewis, O.D.

  • Optometrist
  • Circleville, OH
National Provider Identifier
1760612956
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5879 Issued in OH
Practice address
210 Sharon Rd
Suite B
Circleville, OH 43113-1498
Phone
(740) 477-7200
Fax
(740) 477-8349
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5879 OH Primary

Addresses

Primary practice location

210 Sharon Rd
Suite B
Circleville, OH 43113-1498

Mailing address

1300 King Ave
Apt 1
Columbus, OH 43212-2252
Phone (614) 309-6902

Other names 1

  • Kristen Oblad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221221003250 TX Practitioner - Optometry 5890831366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Ragsdale O.D. P.a. Optometrist CurrentSince Nov 8, 2022 Accepting new patients

Locations

526 N Locust St
Denton, TX 76201
Phone (940) 382-3535

Organizations & group practices 1

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1760612956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 KING AVE",
            "address_2": "APT 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122252",
            "telephone_number": "614-309-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SHARON RD",
            "address_2": "SUITE B",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131498",
            "telephone_number": "740-477-7200",
            "fax_number": "740-477-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRISTEN",
        "middle_name": "OBLAD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "OBLAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.