Individual provider Active NPI

Kendra Willhoite

  • Optometrist
  • Columbus, OH
National Provider Identifier
1922580232
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
121444 Issued in IA
Practice address
2835 Fred Taylor Dr Ste 2229
Columbus, OH 43202-1552
Phone
(614) 688-9176
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 121444 IA Primary
Athletic Trainer 2255A2300X AT005985 OH

Addresses

Primary practice location

2835 Fred Taylor Dr Ste 2229
Columbus, OH 43202-1552

Mailing address

1124 Sturbride Drive
Medina, OH 44256

Other practice location 1

700 Weeb Ewbank Way
Oxford, OH 45056-3518
Phone (330) 204-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230911000418 IA Practitioner - Optometry 6507220530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Associates PCGroup PAC ID 6507757457, 3 clinicians

Practice addresses (Care Compare)

600 Ontario St
Storm Lake, IA 50588-1845
Phone (712) 732-3233

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005985OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Associates PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

1290 Lake Ave
Storm Lake, IA 50588
Phone (712) 732-3233

600 Ontario St
Storm Lake, IA 50588
Phone (712) 239-3937

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1922580232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 STURBRIDE DRIVE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FRED TAYLOR DR STE 2229",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021552",
            "telephone_number": "614-688-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Weeb Ewbank Way",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450563518",
            "country_code": "US",
            "telephone_number": "330-204-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLHOITE",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "121444",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.