Kristen Marie Fahey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002805 Issued in PA

Practice address

201 Lehigh Valley Mall
Whitehall, PA 18052-5719

Phone

(610) 264-8537

Fax

(610) 730-2731

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dowling Family Eye Care P.CGroup PAC ID 3476694233, 2 clinicians

Ben Domiano Optical IncorporatedGroup PAC ID 4082698899, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dowling Family Eye Care P.C

  • Eyewear Supplier
  • Honesdale, PA
  • NPI 1447589015

  PA

  Medicare reassignment Care Compare group NPD
• Ben Domiano Optical Incorporated

  • Optician
  • Old Forge, PA
  • NPI 1639125214

  PA

  Medicare reassignment Care Compare group
• Kai Vision LLC

  • Eye Bank
  • Whitehall, PA
  • NPI 1881347037
  NPD
• Ben Domiano Optical Center LLC

  • Optician
  • Old Forge, PA
  • NPI 1992090096

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1992145270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LEHIGH VALLEY MALL",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525719",
            "telephone_number": "610-264-8537",
            "fax_number": "610-730-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LEHIGH VALLEY MALL",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180525719",
            "telephone_number": "610-264-8537",
            "fax_number": "610-730-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Foster, PT, DPT

• All providers in Whitehall, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.