Kevin Donald Umbright, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2007018528 Issued in MO

Practice address

1077 Branson Hills Pkwy
Suite N
Branson, MO 65616-9940

Phone

(417) 336-1801

Fax

(417) 336-1803

NPI assigned

Dec 7, 2007

Last updated

Oct 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dorlon Optical LLC

  dba Pearle Vision

  • Eyewear Supplier
  • Branson, MO
  • NPI 1699958108
  NPD (past)
• DRS Davis Jordan & Bowling Optometrists PC

  dba Ozarks Family Vision Centre

  • Optometrist
  • Forsyth, MO
  • NPI 1295838381
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1396928800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JAMES F EPPS RD",
            "address_2": "STE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167354",
            "telephone_number": "417-336-1801",
            "fax_number": "417-336-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BRANSON HILLS PKWY",
            "address_2": "SUITE N",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169940",
            "telephone_number": "417-336-1801",
            "fax_number": "417-336-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBRIGHT",
        "first_name": "KEVIN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2007018528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Lakes Urology, Inc
• Holli Jo Triboulet
• Dustin Ryan Tripp, MD
• Elizabeth Demetra Tsahiridis, MSMHC MSED LPC
• Jeffery L Tucker, OT
• Molly Elizabeth Vahldick, FNP-C
• Zach T Vahldick, D.C
• Lacey R Vanemburg, CRNA
• Elyse Verdeyen, PA-C
• Matthew Vermillion

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.