Active NPI
Kevin K.E. Carl, O.D. Dba Eye Clinic
- Optometrist
- Versailles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02658
- Legal business name
- KEVIN K.E. CARL, O.D. DBA EYE CLINIC
- Practice address
- 506 W Newton St
Versailles, MO 65084-1068 - Phone
- (573) 378-6646
- Fax
- (573) 378-6864
- NPI assigned
- Jun 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin K Carl, O.D.
- Title
- Owner
- Phone
- (573) 378-6646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02658 | MO | Primary |
Addresses
Primary practice location
506 W Newton St
Versailles, MO 65084-1068
Mailing address
506 W Newton St
Versailles, MO 65084-1068
Phone (573) 378-6646
National Provider Directory
National Provider Directory- Tax ID family
- Eye Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
506 W Newton St
Versailles, MO 65084
Phone (573) 378-6646
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Sedalia, MO
- NPI 1326043787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174561773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 W NEWTON ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841068",
"telephone_number": "573-378-6646",
"fax_number": "573-378-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 W NEWTON ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841068",
"telephone_number": "573-378-6646",
"fax_number": "573-378-6864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN K.E. CARL, O.D. DBA EYE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARL",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-378-6646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.