Organization Active NPI

Dr Kent B Hill Optometrist PC

Doing business as Union Eye Associates

  • Optometrist
  • Union, MO
National Provider Identifier
1346422979
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2166 Issued in MO
Legal business name
DR KENT B HILL OPTOMETRIST PC
Doing business as
Union Eye Associates
Practice address
507 S Lincoln Ave
Union, MO 63084-2121
Phone
(636) 583-3322
Fax
(636) 583-8328
NPI assigned
Dec 5, 2007
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Kent B Hill, ODNPI 1164420972
Title
Optometrist/Owner
Phone
(636) 583-3322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2166 MO Primary

Addresses

Primary practice location

507 S Lincoln Ave
Union, MO 63084-2121

Mailing address

507 S Lincoln Ave
Union, MO 63084-2121
Phone (636) 583-3322

Other identifiers 1

IdentifierTypeStateIssuer
410031364OtherMORAILROAD MEDICARE

Other names 1

  • Union Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000562 MO Part B Supplier - Clinic/Group Practice 8921150699 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Union, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2066834Union Eye Associates507 South Lincoln Avenue, Union, MO 63084Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Locations

507 S Lincoln Ave
Union, MO 63084
Phone (636) 442-2547

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1346422979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S LINCOLN AVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630842121",
            "telephone_number": "636-583-3322",
            "fax_number": "636-583-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S LINCOLN AVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630842121",
            "telephone_number": "636-583-3322",
            "fax_number": "636-583-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KENT B HILL OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "636-583-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410031364",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.