Individual provider Active NPI

Kimberly Ann Hall, OD

  • Optometrist
  • Carmel, IN
National Provider Identifier
1821056227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003345A Issued in IN
Practice address
12513 N Meridian St
Carmel, IN 46032-9150
Phone
(317) 254-6480
Fax
(317) 259-8609
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003345A IN Primary

Addresses

Primary practice location

12513 N Meridian St
Carmel, IN 46032-9150

Mailing address

5455 Harrison Park LN
Indianapolis, IN 46216-2245
Phone (317) 254-6480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050823000304 IN Practitioner - Optometry 8921039629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003345AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Eye Care, P.C. Optometrist PastSince Apr 26, 2009 Accepting new patients
Indy Eye Care LLC Optometrist PastSince Dec 29, 2014 Accepting new patients
Lauck & McLean P C Optometrist Past Accepting new patients

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821056227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 HARRISON PARK LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162245",
            "telephone_number": "317-254-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12513 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329150",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.