Active NPI
Nathan Hurst, OD
- Optometrist
- Poplar Bluff, MO
National Provider Identifier
1114857406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2026021551
- Practice address
- 2751 N Westwood Blvd
Poplar Bluff, MO 63901-2346 - Phone
- (573) 785-5500
- NPI assigned
- May 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2026021551 | MO | Primary |
Addresses
Primary practice location
2751 N Westwood Blvd
Poplar Bluff, MO 63901-2346
Mailing address
2751 N Westwood Blvd
Poplar Bluff, MO 63901-2346
Phone (573) 785-5500
Other practice location 1
2954 E Jackson Blvd
Jackson, MO 63755-2949
Phone (573) 204-8700
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
477 Hyde Park
Jackson, MO 63755-8725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026021551 | MO | MD | Optometrist |
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.
-
- Optometrist
- Poplar Bluff, MO
- NPI 1629266242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1114857406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012346",
"telephone_number": "573-785-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012346",
"telephone_number": "573-785-5500"
}
],
"practiceLocations": [
{
"address_1": "2954 E Jackson Blvd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MO",
"postal_code": "637552949",
"country_code": "US",
"telephone_number": "573-204-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURST",
"first_name": "NATHAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2026021551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.