Douglas F Kilgore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2314000 Issued in MN

Practice address

7150 Valley Creek PLZ Ste 216
Woodbury, MN 55125-2271

Phone

(651) 738-4886

Fax

(651) 738-3744

NPI assigned

Jan 5, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063569366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 VALLEY CREEK PLZ STE 216",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252271",
            "telephone_number": "651-738-4886",
            "fax_number": "651-738-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 VALLEY CREEK PLZ STE 216",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252271",
            "telephone_number": "651-738-4886",
            "fax_number": "651-738-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2314000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ketola
• Elyse O Kharbanda, MD
• Hoa Huynh Khatib, RPH
• Daniel J Khoury, MD
• Joel Kiefer
• Jill Noelle Kiltie, LICSW
• Teresia Kimani
• Jacqueline Lee Kimber, RDH
• Monica Katherine Kimitch, AU.D. CCC-A
• Bridget M Kimker, PA-C

• Optometrist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.