Individual provider Active NPI

Kristen Jarrell, O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1790097830
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001956 Issued in VA
Practice address
1601 Willow Lawn Dr
Richmond, VA 23230-3427
Phone
(804) 288-2202
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001956 VA Primary

Addresses

Primary practice location

1601 Willow Lawn Dr
Richmond, VA 23230-3427

Mailing address

16525 Inchcape Rd
Moseley, VA 23120-1269
Phone (804) 338-4985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20130910000066 VA Practitioner - Optometry 2668616871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kristine Hue Van and Associates IncGroup PAC ID 8921280033, 4 clinicians

Practice addresses (Care Compare)

1601 Willow Lawn Dr
Suite 254
Richmond, VA 23230-3431
Phone (804) 288-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oatman Nilsen & Associates Optometrists LTD Optometrist CurrentSince Mar 15, 2021 Accepting new patients
Dr Kristine Hue Van and Associates Inc Optometrist CurrentSince Apr 20, 2019 Accepting new patients
Dr. W. David Spruill & Associates Optometrist PastSince Apr 20, 2019 Accepting new patients

Locations

601 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 858-2020

1601 Willow Lawn Dr
Ste 254
Richmond, VA 23230
Phone (804) 288-2202

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": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1790097830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 INCHCAPE RD",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201269",
            "telephone_number": "804-338-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLOW LAWN DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303427",
            "telephone_number": "804-288-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.