Kemp Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02963 Issued in MO

Legal business name

KEMP FAMILY EYE CARE, LLC

Practice address

325 S Main Ave
Bolivar, MO 65613-2052

Phone

(417) 777-9000

Fax

(417) 777-9003

NPI assigned

Dec 9, 2008

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wesley Don Kemp, O.D.NPI 1457344525

Title

Optometrist

Phone

(417) 777-9000

Specialties & licenses 1

Addresses

Other names 1

• Wes Kemp, O.D. Former legal business name

Locations

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.

• Wesley Don Kemp, O.D.

  • Optometrist
  • Bolivar, MO
  • NPI 1457344525
  Authorized official Same address or phone

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1174768949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S MAIN AVE",
            "address_2": "PO BOX 42",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132052",
            "telephone_number": "417-777-9000",
            "fax_number": "417-777-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MAIN AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132052",
            "telephone_number": "417-777-9000",
            "fax_number": "417-777-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMP FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "417-777-9000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wes Kemp, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Timothy R Jump, DDS
• Sarah B Kallberg, D.O.
• Kristopher J Kaufmann, DO
• Ryan Andrew Kedzie, DO
• Phillip Kelchen, M.D.
• Lou Thelen Kemp, MA
• Wesley Don Kemp, O.D.
• Kayla Kittle, MD
• Ajdin Kobic, MD
• Zackery Koch, BA, MAADAC-I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.