Individual provider Active NPI

Katherine Ann Straley, OD

  • Optometrist
  • Glen Allen, VA
National Provider Identifier
1932766094
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003162 Issued in VA
Practice address
10116 Brook Rd
Glen Allen, VA 23059-6514
Phone
(804) 515-7733
Fax
(804) 515-9636
NPI assigned
May 23, 2019
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9643T TX
Optometrist 152W00000X 0618003162 VA Primary

Addresses

Primary practice location

10116 Brook Rd
Glen Allen, VA 23059-6514

Mailing address

10116 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 515-7733

Other practice location 1

11300 US Highway 290 E Ste 220
Manor, TX 78653-0397
Phone (512) 910-3937

Other practice location 2

5617 W Broad St
Richmond, VA 23230-2614
Phone (804) 282-7228

Other practice location 3

3410 Pump Rd
Henrico, VA 23233-1111
Phone (804) 364-1837

Other names 1

  • Katherine Ann Horning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221219001594 VA Practitioner - Optometry 4385076181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Rainer and Ryan Optometrists PLCGroup PAC ID 4486688355, 5 clinicians
James River Eye AssociatesGroup PAC ID 1557510831, 5 clinicians

Practice addresses (Care Compare)

10116 Brook Rd
Glen Allen, VA 23059-6514
Phone (804) 515-7733

5617 W Broad St
Richmond, VA 23230-2614
Phone (804) 282-7228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9643TTXMDOptometrist
0618003162VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Center PC Optometrist CurrentSince Dec 12, 2022 Accepting new patients
DRS Rainer & Ryan Optometrists PLC Optometrist CurrentSince Dec 12, 2022 Accepting new patients
James River Eye Associates Optometrist CurrentSince Dec 12, 2022 Accepting new patients
Angela Adkins - Adkins Hollowell Optometry Optometrist CurrentSince Aug 29, 2021 Accepting new patients

Locations

1335 E Whitestone Blvd
Bldg E150
Cedar Park, TX 78613
Phone (512) 260-2273

10116 Brook Rd
Glen Allen, VA 23059
Phone (804) 515-7733

3410 Pump Rd
Richmond, VA 23233
Phone (804) 364-1837

5617 W Broad St
Richmond, VA 23230
Phone (804) 282-7228

Organizations & group practices 4

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1932766094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596514",
            "telephone_number": "804-515-7733",
            "fax_number": "804-515-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596514",
            "telephone_number": "804-515-7733",
            "fax_number": "804-515-9636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11300 US Highway 290 E Ste 220",
            "address_purpose": "LOCATION",
            "city": "Manor",
            "state": "TX",
            "postal_code": "786530397",
            "country_code": "US",
            "telephone_number": "512-910-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5617 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232302614",
            "country_code": "US",
            "telephone_number": "804-282-7228",
            "fax_number": "804-285-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3410 Pump Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331111",
            "country_code": "US",
            "telephone_number": "804-364-1837",
            "fax_number": "804-364-1698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRALEY",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9643T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HORNING",
            "middle_name": "ANN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.