Active NPI
Kimberly Ann Layfield, O.D.
- Optometrist
- Bridgeton, MO
National Provider Identifier
1407054943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2007018394
- Practice address
- 12255 Depaul Drive
Suite 360
Bridgeton, MO 63044-2510 - Phone
- (314) 739-9293
- Fax
- (314) 739-3968
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2007018394 | MO | Primary |
Addresses
Primary practice location
12255 Depaul Drive
Suite 360
Bridgeton, MO 63044-2510
Mailing address
262 Valleybrook CT
O Fallon, MO 63368-9638
Phone (314) 956-7227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317423705 | Medicaid | MO |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12255 Depaul Dr
Suite 250
Bridgeton, MO 63044-2513
Phone (314) 739-9293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007018394 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Eye Care and Surgery Inc. | Current | Accepting new patients | |
| Denise M. Harvey Dba Advanced Eyecare | Optometrist | Past | Accepting new patients |
| Charles a Sigmund MD Inc | Past | Accepting new patients | |
| Horizon Behavioral Health LLC | Past | Accepting new patients |
Locations
12255 De Paul Dr
Ste 250
Bridgeton, MO 63044
Phone (314) 344-7770
12255 De Paul Dr
Ste 360
Bridgeton, MO 63044
Phone (314) 739-9293
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Bridgeton, MO
- NPI 1417065129
-
- Ophthalmology Physician
- Bridgeton, MO
- NPI 1194832402
-
dba Bowling Green Eyecare LLC
- Optometrist
- Bowling Green, MO
- NPI 1356367981
-
- Psychiatry Physician
- Bridgeton, MO
- NPI 1033181037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1407054943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 VALLEYBROOK CT",
"city": "O FALLON",
"state": "MO",
"postal_code": "633689638",
"telephone_number": "314-956-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DEPAUL DRIVE",
"address_2": "SUITE 360",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442510",
"telephone_number": "314-739-9293",
"fax_number": "314-739-3968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYFIELD",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2007018394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "317423705",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.