Individual provider Active NPI

Kelli Schaedel Kitchens, OD

  • Optometrist
  • Springdale, AR
National Provider Identifier
1790462547
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2868 Issued in AR
Practice address
1127 S Gutensohn Rd Ste 1
Springdale, AR 72762-5228
Phone
(479) 750-3937
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2868 AR Primary

Addresses

Primary practice location

1127 S Gutensohn Rd Ste 1
Springdale, AR 72762-5228

Mailing address

1127 S Gutensohn Rd Ste 1
Springdale, AR 72762-5228
Phone (479) 750-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20250815003619 AR Practitioner - Optometry 8123527256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1127 S Gutensohn Rd
Suite 101
Springdale, AR 72762-5189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomason Eye Care, P.a. Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

1127 S Gutensohn Rd
Ste 101
Springdale, AR 72762
Phone (479) 750-3937

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1790462547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 S GUTENSOHN RD STE 1",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625228",
            "telephone_number": "479-750-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S GUTENSOHN RD STE 1",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625228",
            "telephone_number": "479-750-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEDEL KITCHENS",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.