Active NPI
J Douglas Kilgo, O.D.
- Optometrist
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1052
- Practice address
- 1401 Haywood Rd
Hendersonville, NC 28791-2335 - Phone
- (828) 693-5205
- Fax
- (828) 693-0122
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- 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 | 1052 | NC | Primary |
Addresses
Primary practice location
1401 Haywood Rd
Hendersonville, NC 28791-2335
Mailing address
1401 Haywood Rd
Hendersonville, NC 28791-2335
Phone (828) 693-5205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909487 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Kilgo Eye Care OD PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Mission Hospital, Inc. | Past | Accepting new patients |
Locations
2 Walden Ridge Dr
Ste 50
Asheville, NC 28803
Phone (828) 676-3260
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
1401 Haywood Rd
Hendersonvlle, NC 28791
Phone (828) 693-5205
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
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.
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- NPI 1316021462
-
- Optometrist
- Monroe, NC
- NPI 1407737182
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1508855784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HAYWOOD RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287912335",
"telephone_number": "828-693-5205",
"fax_number": "828-693-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HAYWOOD RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287912335",
"telephone_number": "828-693-5205",
"fax_number": "828-693-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGO",
"first_name": "J",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909487",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.