Kenneth R Mueller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02919 Issued in MO

Practice address

215 Progress Rd
Hannibal, MO 63401-6637

Phone

(573) 248-1616

Fax

(573) 248-1963

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Indiana University - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Eyecare Center LLCGroup PAC ID 0244125235, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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.

• International Eyecare Center LLC

  • Optometrist
  • Quincy, IL
  • NPI 1760405047

  MO

  Medicare reassignment Care Compare group
• Ophthalmology Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1659799575
  NPD (past)
• International Eyecare Center, Inc.

  • Optometrist
  • Lavista, NE
  • NPI 1740461979
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1013966076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PROGRESS RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016637",
            "telephone_number": "573-248-1616",
            "fax_number": "573-248-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PROGRESS RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016637",
            "telephone_number": "573-248-1616",
            "fax_number": "573-248-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008326",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "077734",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315344606",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013966076",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013966076",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Monroe, O.D.
• Angela M Montgomery
• Edwina Morriss-Hirner, LCSW, MSW
• Lisa Morrow, MA, LPC
• Stacey Mudd-Ray, RPH
• Allyson Lynn Munch, DO
• Marshall Vernon Munch, O.D.
• Robert Francis Munsch, M.D.
• Jessica Murfin
• Murphy Chiropractic Health Center

• Optometrist in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.