Kelli M. Regier-Hermon OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1750 Issued in KS

Legal business name

KELLI M. REGIER-HERMON OD PA

Practice address

7533 Mohawk St
Prairie Village, KS 66208-4220

Phone

(913) 499-8859

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelli M. Regier, O.D.

Title

Optometrist/Owner

Phone

(913) 499-8859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Kelli M Regier-Hermon, O.D.

  • Optometrist
  • Kansas City, MO
  • NPI 1891809141
  Medicare reassignment

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1588964605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 MOHAWK ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 MOHAWK ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084220",
            "telephone_number": "913-499-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI M. REGIER-HERMON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "REGIER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "913-499-8859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.