Active NPI
V. Eugene Kilmore, Jr., M.D.
- Ophthalmology Physician
- Mechanicsburg, PA
National Provider Identifier
1386636363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD019118E
- Practice address
- 890 Century Dr
Mechanicsburg, PA 17055-4375 - Phone
- (717) 697-1414
- Fax
- (717) 697-4921
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD019118E | PA | Primary |
Addresses
Primary practice location
890 Century Dr
Mechanicsburg, PA 17055-4375
Mailing address
890 Century Dr
Mechanicsburg, PA 17055-4375
Phone (717) 697-1414
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990388 | Other | PA | KEYSTONE |
| 232175708 | Other | PA | OTHER |
| 5798509 | Other | PA | AETNA PPO |
| 727679 | Other | PA | BLUE SHIELD |
| C27885 | Other | PA | HEALTH AMERICA |
| 392326 | Other | PA | NVA |
| 02286000 | Other | PA | CAPITAL BLUE CROSS |
| 139255 | Other | PA | THREE RIVERS MEDPLUS |
| 78848 | Other | PA | AETNA HMO |
| 20020023 | Other | PA | AMERIHEALTH MERCY |
| CF0050 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019118E | PA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1386636363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 CENTURY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554375",
"telephone_number": "717-697-1414",
"fax_number": "717-697-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 CENTURY DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554375",
"telephone_number": "717-697-1414",
"fax_number": "717-697-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILMORE, JR.",
"first_name": "V. EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD019118E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "990388",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "232175708",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5798509",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "727679",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "C27885",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "392326",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02286000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS MEDPLUS",
"identifier": "139255",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "78848",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "20020023",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CF0050",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.