Kelly Nicole Slater, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5418/T2329 Issued in OH

Practice address

223 County Road 410
South Point, OH 45680-7901

Phone

(740) 894-4023

Fax

(740) 894-4225

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East, LP

  • Eyewear Supplier
  • South Point, OH
  • NPI 1134139223
  NPD (past)
• Dr Stephen L. Gaal & Associates

  • Optometrist
  • Charleston, WV
  • NPI 1356501837
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1811093024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NORTH BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013232",
            "telephone_number": "304-617-5825",
            "fax_number": "740-894-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 COUNTY ROAD 410",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807901",
            "telephone_number": "740-894-4023",
            "fax_number": "740-894-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5418/T2329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Shamblin
• Shield Roofing & Construction, LLC
• Jordan Shumate
• Stanley Winfred Simmons Jr, RN
• Ronald Gene Sims, SPECIALIZED M.S.
• Amber Tennille Sloan
• Amy Smart
• Carl Smith
• Darcy Renee Smith, M.ED., LPCC, NCC
• Katherine Smith

• Optometrist in South Point, OH
• Providers in South Point, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.