Kory M. Locken

Primary specialty

OptometristTaxonomy code 152W00000X

License

AT4724 Issued in OR

Practice address

2640 Biehn St Ste 3
Klamath Falls, OR 97601-1181

Phone

(541) 884-3148

NPI assigned

Apr 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Southern California College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klamath Ophthalmology PCGroup PAC ID 4284620006, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Klamath Ophthalmology PC

  • Ophthalmology Physician
  • Klamath Falls, OR
  • NPI 1730148271

  Optometrist

  Medicare reassignment Care Compare group NPD
• Klamath Ophthalmology, PC

  • Optometrist
  • Lakeview, OR
  • NPI 1730586918
  NPD
• Klamath Ophthalmology PC

  • Ophthalmology Physician
  • Alturas, CA
  • NPI 1215442702

  Optometrist

  NPD
• Klamath Ophthalmology PC

  • Optometrist
  • Klamath Falls, OR
  • NPI 1902041676
  NPD (past)

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1972357960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 HIGH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013169",
            "telephone_number": "541-301-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 BIEHN ST STE 3",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011181",
            "telephone_number": "541-884-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKEN",
        "first_name": "KORY",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "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": "OR",
            "license": "AT4724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Lipparelli
• Bo Liu, PHARMD
• Ryan Lobdell, CRM
• Wesley Louis Lobdell
• Casey Locke, CADC II
• Heather Lynne Lockner-Blair, C.P.S.
• Christine Lockwood, RN
• Isabella Sky Lockwood I
• Stephen Long
• John A Longeway, PMHNP

• Optometrist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.