KARA L. TISON OD – NPI #1174878375
Optometrist

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

KARA TISON is an optometrist located in LOUISVILLE, KY. NPPES has assigned the NPI number 1174878375 to KARA TISON on July 13, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 152WP0200X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Pediatrics

The NPI profile was previously updated about 7 years ago on Dec 28, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KARA TISON below.

NPI Profile for
KARA L. TISON

NPI Number
1174878375
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KARA L. TISON
Credentials
OD
Primary location
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202
Phone: (502) 588-0550 Fax:
2 Other location(s):
301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone: (502) 588-0550
9725 Datapoint Dr
San Antonio, TX 78229
Phone: (210) 283-6881
Mailing address
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone: (502) 588-0330 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for KARA TISON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEKY2120DT
OTHERMEDICAREKYK116800
MEDICAIDIN300020905
MEDICAIDKY7100556990
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WP0200X
- Optometrist / Pediatrics (Primary)
KY 2120DT
152W00000X
- Optometrist
TX 8442TG

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.