Individual provider Active NPI

Kristi Rose Kessler-Williams, OD

  • Optometrist
  • Mexico, MO
National Provider Identifier
1558420547
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03285 Issued in MO
Practice address
201 S Muldrow St
Mexico, MO 65265-1980
Phone
(573) 581-8811
Fax
(573) 582-7007
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03285 MO Primary

Addresses

Primary practice location

201 S Muldrow St
Mexico, MO 65265-1980

Mailing address

201 S Muldrow St
Mexico, MO 65265-1980
Phone (573) 581-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080508000465 MO Practitioner - Optometry 3870672322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 W Promenade St
Mexico, MO 65265-2719
Phone (573) 581-8811

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye to Eye Optometry, Inc Optometrist CurrentSince Aug 1, 1998 Accepting new patients
Capitol Eye Care, Inc. Past Accepting new patients

Locations

321 W Promenade St
Mexico, MO 65265
Phone (573) 581-8811

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558420547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MULDROW ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652651980",
            "telephone_number": "573-581-8811",
            "fax_number": "573-582-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MULDROW ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652651980",
            "telephone_number": "573-581-8811",
            "fax_number": "573-582-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER-WILLIAMS",
        "first_name": "KRISTI",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

Verify at the official NPI Registry.