Individual provider Active NPI

Todd D Hildreth, OD

  • Optometrist
  • Blue Springs, MO
National Provider Identifier
1407849789
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02832 Issued in MO
Practice address
1613 S 7 Highway
Discover Vision Centers
Blue Springs, MO 64015
Phone
(816) 478-1230
Fax
(816) 350-5075
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02832 MO Primary
Optometrist 152W00000X 13313 KS

Addresses

Primary practice location

1613 S 7 Highway
Discover Vision Centers
Blue Springs, MO 64015

Mailing address

4801 S Cliff Ave
Suite 100
Independence, MO 64055-7015
Phone (816) 478-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051029000310 MO Practitioner - Optometry 7810914777 Reassigns benefits to 1 organization
I20100907000907 KS Practitioner - Optometry 7810914777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, shared by 2 NPIs, 49 clinicians

Practice addresses (Care Compare)

11500 Granada St
Leawood, KS 66211-1453
Phone (816) 478-1230

425 NW Murray Rd
Lees Summit, MO 64081-1425
Phone (816) 478-1230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13313KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care LLC Optometrist CurrentSince May 1, 1998 Accepting new patients
Eye Care, LLC Optometrist CurrentSince May 1, 1998 Accepting new patients
Eye Care, LLC Optometrist Current Accepting new patients
Eye Care, LLC Optometrist CurrentSince May 1, 1998 Accepting new patients
Eye Care, LLC Past Accepting new patients

Locations

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

1613 SW State Route 7
Blue Springs, MO 64014

211 NW State Route 7
Blue Springs, MO 64014
Phone (816) 350-5027

4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849

4801 S Cliff Ave
Ste 100
Independence, MO 64055
Phone (816) 350-4536

425 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 542-7157

Interoperability endpoints

  • Direct secure messaging: thildreth@direct.dvc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1407849789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557015",
            "telephone_number": "816-478-1230",
            "fax_number": "816-478-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 S 7 HIGHWAY",
            "address_2": "DISCOVER VISION CENTERS",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64015",
            "telephone_number": "816-478-1230",
            "fax_number": "816-350-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "TODD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02832",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "13313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.