NPIMap

Organization Active NPI

Complete Vision Care, Inc.

  • Optometrist
  • Leadington, MO
National Provider Identifier
1497895908
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006017276 Issued in MO
Legal business name
COMPLETE VISION CARE, INC.
Practice address
200 E Woodlawn Dr
Leadington, MO 63601-4436
Phone
(573) 431-1301
Fax
(573) 431-9339
NPI assigned
Feb 7, 2007
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Mark A Kahrhoff, ODNPI 1528154275
Title
Owner President
Phone
(573) 431-1301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2006017276 MO Primary

Addresses

Primary practice location

200 E Woodlawn Dr
Leadington, MO 63601-4436

Mailing address

200 E Woodlawn Dr
Leadington, MO 63601-4436
Phone (573) 431-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100726000851 MO Part B Supplier - Clinic/Group Practice 4981737095 Receives reassigned benefits from 5 practitioners
Practice locations: Webster Groves, MO; Leadington, MO; Bridgeton, MO; Festus, MO

National Provider Directory

National Provider Directory

Locations

600 Westwood Dr S
Festus, MO 63028
Phone (636) 931-2020

200 E Woodlawn Dr
Park Hills, MO 63601
Phone (573) 431-1301

24 N Gore Ave
Webster Groves, MO 63119
Phone (314) 918-1239

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1497895908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WOODLAWN DR",
            "city": "LEADINGTON",
            "state": "MO",
            "postal_code": "636014436",
            "telephone_number": "573-431-1301",
            "fax_number": "573-431-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WOODLAWN DR",
            "city": "LEADINGTON",
            "state": "MO",
            "postal_code": "636014436",
            "telephone_number": "573-431-1301",
            "fax_number": "573-431-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VISION CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "KAHRHOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "573-431-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006017276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leadington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.