Individual provider Active NPI

Jessica Hillner, O.D.

  • Optometrist
  • Independence, MO
National Provider Identifier
1447275995
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001584 Issued in VA
Practice address
4741 S Cochise Dr
Independence, MO 64055-6974
Phone
(816) 478-1230
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001584 VA Primary

Addresses

Primary practice location

4741 S Cochise Dr
Independence, MO 64055-6974

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
46000005OtherMOMEDICAR PTAN
406A00005OtherKSMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110216001182 KS Practitioner - Optometry 8325194855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

11010 Haskell Ave
Kansas City, KS 66109-8500
Phone (816) 478-1230

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001584VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care, LLC Optometrist CurrentSince Jan 6, 2011 Accepting new patients

Locations

11010 Haskell Ave
Kansas City, KS 66109

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

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

Interoperability endpoints

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

Organizations & group practices 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1447275995",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S COCHISE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556974",
            "telephone_number": "816-478-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLNER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR PTAN",
            "identifier": "46000005",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "406A00005",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.