Kim N Pilkington, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2699 Issued in MO

Practice address

2825 S Glenstone Ave
Suite 113 Battlefield Mall
Springfield, MO 65804-3732

Phone

(417) 887-6883

Fax

(417) 887-6884

NPI assigned

Nov 16, 2006

Last updated

May 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Springfield Eyecare, LLCGroup PAC ID 9234105008, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Springfield Eyecare, LLC

  • Optometrist
  • Springfield, MO
  • NPI 1730370305
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Family Eye Care Inc

  • Optometrist
  • Springfield, MO
  • NPI 1164551024
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1659444891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 S GLENSTONE AVE",
            "address_2": "SUITE 113 BATTLEFIELD MALL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043732",
            "telephone_number": "417-887-6883",
            "fax_number": "417-887-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S GLENSTONE AVE",
            "address_2": "SUITE 113 BATTLEFIELD MALL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043732",
            "telephone_number": "417-887-6883",
            "fax_number": "417-887-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILKINGTON",
        "first_name": "KIM",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI SPRINGFIELD EYECARE, LLC",
            "identifier": "1730370305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Elizabeth Pierce, NP-C
• Teresa J Pierpont
• Ashley Nicole Pierson, PA-C
• Christina A Pietz, PHD, LP
• Elene S Pilapil, MD
• Taylor Pilkington, PA-C
• Pillar Home Care Solutions LLC
• James N. Pinckley, MD
• Lindsey D Pindris, SLP
• Menger Ping, O.M., L. AC.

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.