Organization Active NPI

Kristi Lyn Rhodes

  • Optometrist
  • Sisters, OR
National Provider Identifier
1891961769
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2974ATI Issued in OR
Legal business name
KRISTI LYN RHODES
Practice address
304 W Adams
Sisters, OR 97759-1986
Phone
(541) 549-2105
Fax
(541) 549-2106
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Kristi Lyn Rhodes, OD
Title
Optometrist
Phone
(541) 549-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2974ATI OR Primary

Addresses

Primary practice location

304 W Adams
Sisters, OR 97759-1986

Mailing address

PO Box 1986
304 W Adams
Sisters, OR 97759-1986
Phone (541) 549-2105

Other names 1

  • Family Optometry of Sisters Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1891961769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1986",
            "address_2": "304 W ADAMS",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591986",
            "telephone_number": "541-549-2105",
            "fax_number": "541-549-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W ADAMS",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591986",
            "telephone_number": "541-549-2105",
            "fax_number": "541-549-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI LYN RHODES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "541-549-2105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2974ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Optometry of Sisters",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.