Individual provider Active NPI

J Douglas Kilgo, O.D.

  • Optometrist
  • Hendersonville, NC
National Provider Identifier
1508855784
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1052 Issued in NC
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

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8909487MedicaidNC

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1052NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Kilgo Eye Care OD PLLC Optometrist CurrentSince Jul 5, 2020 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 1, 2019 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.

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

Verify at the official NPI Registry.