Kies Eye Center, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KIES EYE CENTER, LLC

Practice address

1429 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171

Phone

(573) 335-9175

Fax

(573) 334-3390

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

David C Anderson

Title

Practice Administrator

Phone

(573) 335-9175

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1376505248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-335-9175",
            "fax_number": "573-334-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-335-9175",
            "fax_number": "573-334-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIES EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "573-335-9175"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6364",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "105645",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khalid Khan, MD
• Kishore A Khot, M.D.
• Elie Joseph Khouri, M.D
• Kiddly Winks Therapeutics, LLC
• Amy Kiehne
• Richard L. Kies, M.D.
• Michael S Killen, M.D.
• Sarah Kilpela
• Bokyung Kim
• Buup Justin Kim, MD

• Ophthalmology Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.