Individual provider Active NPI

Kristin E Christian, OD

  • Optometrist
  • El Dorado, AR
National Provider Identifier
1902813314
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2574 Issued in AR
Practice address
300 Thompson Ave
El Dorado, AR 71730-4569
Phone
(870) 862-2340
Fax
(870) 862-2548
NPI assigned
Aug 1, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2574 AR Primary

Addresses

Primary practice location

300 Thompson Ave
El Dorado, AR 71730-4569

Mailing address

300 Thompson Ave
El Dorado, AR 71730-4569
Phone (870) 862-2340

Other practice location 1

443 W Oak St
El Dorado, AR 71730-4566
Phone (870) 862-2340

Other identifiers 1

IdentifierTypeStateIssuer
162985722MedicaidAR

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
I20061128000336 AR Practitioner - Optometry 0840298923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivory a Kinslow MdpaGroup PAC ID 3678713054, 2 clinicians

Practice addresses (Care Compare)

300 Thompson Ave
El Dorado, AR 71730-4569
Phone (870) 862-2340

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
94.5
Improvement activities
40
Cost
76.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2574ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Surgery Center, LLC Current Accepting new patients
Ivory a. Kinslow, Mdpa Optometrist CurrentSince Apr 1, 2013 Accepting new patients
Ivory a. Kinslow, Mdpa Optometrist CurrentSince Apr 1, 2013 Accepting new patients

Locations

300 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-2340

310 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-4216

443 W Oak St
El Dorado, AR 71730
Phone (870) 862-1351

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, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1902813314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304569",
            "telephone_number": "870-862-2340",
            "fax_number": "870-862-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304569",
            "telephone_number": "870-862-2340",
            "fax_number": "870-862-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 W Oak St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304566",
            "country_code": "US",
            "telephone_number": "870-862-2340",
            "fax_number": "870-863-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162985722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.