Individual provider Active NPI

Hannah Kissick, OD

  • Optometrist
  • Mount Sterling, KY
National Provider Identifier
1780319103
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2281DT Issued in KY
Practice address
633 Maysville Rd
Mount Sterling, KY 40353-9767
Phone
(859) 404-7686
Fax
(859) 498-8160
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2281DT KY Primary

Addresses

Primary practice location

633 Maysville Rd
Mount Sterling, KY 40353-9767

Mailing address

236 W Main St
Mount Sterling, KY 40353-1348
Phone (859) 404-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230110000686 KY Practitioner - Optometry 4183094097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Health Solutions IncGroup PAC ID 9436301686, 59 clinicians

Practice addresses (Care Compare)

44 Water St
Owingsville, KY 40360-8944
Phone (606) 674-9776

633 Maysville Rd
Mount Sterling, KY 40353-9767
Phone (859) 404-7686

635 N Maysville St
Suite a
Mount Sterling, KY 40353-9767
Phone (859) 498-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2281DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions, Inc CurrentSince Aug 14, 2023 Accepting new patients
Sterling Health Solutions Inc CurrentSince Aug 14, 2023 Accepting new patients
Helderman & Jacobs Vison Center, PLLC PastSince Jul 1, 2022 Accepting new patients

Locations

633 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 274-4595

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

Interoperability endpoints

  • Direct secure messaging: hannah.kissick.1@25737.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1780319103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686",
            "fax_number": "859-274-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAYSVILLE RD",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539767",
            "telephone_number": "859-404-7686",
            "fax_number": "859-498-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSICK",
        "first_name": "HANNAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2281DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

Verify at the official NPI Registry.