Kent George Hillery, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1541 Issued in IA

Practice address

3343 Center Grove Drive
Clock Tower West
Dubuque, IA 52003-5264

Phone

(563) 588-2093

Fax

(563) 588-0590

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dubuque Family Eye Care PC

  • Optometrist
  • Dubuque, IA
  • NPI 1508105487
  NPD (past)
• Dubuque Optometric, P.C.

  • Optometrist
  • Dubuque, IA
  • NPI 1376661777
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609945377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 CENTER GROVE DRIVE",
            "address_2": "CLOCK TOWER WEST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035264",
            "telephone_number": "563-588-2093",
            "fax_number": "563-588-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 CENTER GROVE DRIVE",
            "address_2": "CLOCK TOWER WEST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035264",
            "telephone_number": "563-588-2093",
            "fax_number": "563-588-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLERY",
        "first_name": "KENT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1541",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "07575",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070771",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillcrest Family Services (Hillcrest Mental Health Center)
• Hillcrest Family Services
• Hillcrest Family Services
• Hillcrest Opco LLC (Luther Manor at Hillcrest)
• Hillcrest Opco LLC (Luther Manor at Hillcrest)
• Hills and Dales Child Development Center
• Hills and Dales Child Development Center
• Hills and Dales Child Development Center
• Hinderman Chiropractic Inc. (Family First Chiropractic and Wellness Center)
• Jack Daniel Hinderman, D.C.

• Optometrist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.