Kristen Sue Culver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2007022035 Issued in MO

Practice address

101 East 10TH Street Suite a
Caruthersville, MO 63830-1137

Phone

(573) 333-1860

Fax

(573) 333-0099

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T M Swinger and D V McKillip, PTRGroup PAC ID 1052397882, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• T M Swinger & D V McKillip, PTR

  • Optometrist
  • Caruthersville, MO
  • NPI 1831387372
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1346430378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "address_2": "101 E 10TH SUITE A",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301137",
            "telephone_number": "573-333-1860",
            "fax_number": "573-333-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST 10TH STREET SUITE A",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301137",
            "telephone_number": "573-333-1860",
            "fax_number": "573-333-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVER",
        "first_name": "KRISTEN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007022035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317444800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Gail Cook
• Cotoneaster CDS,LLC
• Cotoneaster Incorporated
• Natalie Anne Crawford
• Amber Lynne Cuff
• Anahi Delacruz
• Divine Holiness Outreach Ministry
• Douglas Fitzwater
• Shane A Dudley, R.PH.
• Kayla Marie Dunkin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.

Verify at the official NPI Registry.