Individual provider Active NPI

Julie Hively, O.D.

  • Optometrist
  • Chesterfield, MO
National Provider Identifier
1114254877
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5849 Issued in OH
Practice address
17304 Chesterfield Airport Rd
Chesterfield, MO 63005-1420
Phone
(636) 537-5969
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5849 OH Primary

Addresses

Primary practice location

17304 Chesterfield Airport Rd
Chesterfield, MO 63005-1420

Mailing address

17304 Chesterfield Airport Rd
Chesterfield, MO 63005-1420
Phone (636) 537-5969

Other practice location 1

4244 Virginia Ave
Collinsville, VA 24078
Phone (434) 385-5600

Other practice location 2

4012 Easton Station
Columbus, OH 43219
Phone (614) 476-2586

Other practice location 3

4012 Easton Station
Columbus, OH 43219
Phone (614) 476-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100804000191 OH Practitioner - Optometry 5395878839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

368 S Hamilton Rd
Gahanna, OH 43230-3350
Phone (614) 478-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5849OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, LLC Optometrist CurrentSince Jun 7, 2024 Accepting new patients

Locations

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

1595 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 385-0088

1150 Polaris Pkwy
Columbus, OH 43240
Phone (614) 433-7357

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

1260 Sunbury Rd
Ste B
Delaware, OH 43015
Phone (740) 212-6111

4977 Tuttle Crossing Blvd
Dublin, OH 43016
Phone (614) 766-6638

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

1584 Stringtown Rd
Grove City, OH 43123
Phone (614) 871-4016

8121 E Broad St
Reynoldsburg, OH 43068
Phone (614) 655-8448

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1114254877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 CHESTERFIELD AIRPORT RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051420",
            "telephone_number": "636-537-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17304 CHESTERFIELD AIRPORT RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051420",
            "telephone_number": "636-537-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4244 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "VA",
            "postal_code": "24078",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Easton Station",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43219",
            "country_code": "US",
            "telephone_number": "614-476-2586",
            "fax_number": "614-478-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4012 Easton Station",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43219",
            "country_code": "US",
            "telephone_number": "614-476-2586",
            "fax_number": "614-478-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIVELY",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.