Individual provider Active NPI

Kalah Barrett

  • Optometrist
  • Reading, MA
National Provider Identifier
1770073173
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5332 Issued in MA
Practice address
70 Haven St
Reading, MA 01867-2929
Phone
(781) 942-0044
NPI assigned
May 11, 2018
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3479 TN
Optometrist 152W00000X 5332 MA Primary

Addresses

Primary practice location

70 Haven St
Reading, MA 01867-2929

Mailing address

70 Haven St
Reading, MA 01867-2929
Phone (781) 942-0044

Other practice location 1

33 Arch St Fl 17
Boston, MA 02110-1424
Phone (617) 356-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20181102002170 TN Practitioner - Optometry 0042563322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5332MAMDOptometrist
3479TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Florida, PA Optometrist CurrentSince May 21, 2023 Accepting new patients
Mark a. Bowers Optometrist PastSince Jul 17, 2018 Accepting new patients

Locations

29 Garden St
Everett, MA 02149
Phone (617) 356-8117

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1770073173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HAVEN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672929",
            "telephone_number": "781-942-0044",
            "fax_number": "781-942-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HAVEN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672929",
            "telephone_number": "781-942-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Arch St Fl 17",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021101424",
            "country_code": "US",
            "telephone_number": "617-356-8117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KALAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3479",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.