Individual provider Active NPI

Arraya Paksin-Hall, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1851359004
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1662 Issued in KS
Practice address
2107 S Seneca St
Wichita, KS 67213-4222
Phone
(316) 264-7300
Fax
(316) 264-3237
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1662 KS Primary
Optometrist 152W00000X 2002015840 MO

Addresses

Primary practice location

2107 S Seneca St
Wichita, KS 67213-4222

Mailing address

2701 S Seneca St
Wichita, KS 67217-2807
Phone (316) 264-7300

Other practice location 1

5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone (316) 685-2221 ext. 53418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20201203000602 KS Practitioner - Optometry 3870904436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2107 S Seneca St
Wichita, KS 67213-4222
Phone (316) 264-7300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1662KSMDOptometrist
2002015840MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Family Eyecare LLC Optometrist CurrentSince Nov 5, 2020 Accepting new patients

Locations

2107 S Seneca St
Wichita, KS 67213
Phone (316) 264-7300

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, 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1851359004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172807",
            "telephone_number": "316-264-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672134222",
            "telephone_number": "316-264-7300",
            "fax_number": "316-264-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 E Kellogg Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672181607",
            "country_code": "US",
            "telephone_number": "316-685-2221 x53418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKSIN-HALL",
        "first_name": "ARRAYA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1662",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002015840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.