Kelsey Nicole Antle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2020013708 Issued in MO

Practice address

1000 James F Epps Rd Ste 1
Branson, MO 65616-7354

Phone

(417) 334-7291

Fax

(417) 334-6156

NPI assigned

May 22, 2020

Last updated

Nov 10, 2022By the provider in NPPES

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 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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Bowling Griffith and Antle Optometrists PCGroup PAC ID 1052338373, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.39 of 100Reported as group

Quality

56.78

Improvement activities

40

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Bowling Griffith & Antle Optometrists PC

  dba DBA Ozarks Family Vision Centre

  • Optometrist
  • Branson, MO
  • NPI 1861478679
  Medicare reassignment Care Compare group NPD
• DRS Bowling Griffith & Antle Optometrists PC

  dba Ozarks Family Vision Centre

  • Optometrist
  • Ava, MO
  • NPI 1326140187
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1093338170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JAMES F EPPS RD STE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167354",
            "telephone_number": "417-334-7291",
            "fax_number": "417-334-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JAMES F EPPS RD STE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167354",
            "telephone_number": "417-334-7291",
            "fax_number": "417-334-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLE",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020013708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J. Alvarez, D.D.S.
• American Mobile X-Ray, LLC
• Christopher Amundsen, M.D.
• Denise Lynn Anderson
• Nicholas Robert Anderson, M.D.
• Azalie Armknecht
• Ashlyn Armour
• Ericka Diane Arner, RD, LD
• Narin Arunakul, M.D.
• Cassandra L Ashley, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.