Kirsten Kate Shields, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002015853 Issued in MO

Practice address

100 South County Centerway
St. Louis, MO 63129-1009

Phone

(314) 892-9630

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Professional Eyecare - Bannister

  • Optometrist
  • Kansas City, MO
  • NPI 1245382829
  NPD (past)
• Professional Eyecare Metro North Inc

  • Optometrist
  • Kansas City, MO
  • NPI 1568513836
  NPD (past)
• Professional Eyecare Zona Rosa Inc.

  • Optometrist
  • Kansas City, MO
  • NPI 1336291913
  NPD (past)
• Usv Optical Inc

  • Eyewear Supplier
  • St Louis, MO
  • NPI 1104848357
  NPD (past)
• Professional Eyecare Management Inc.

  • Optometrist
  • Lawrence, KS
  • NPI 1104305564
  NPD (past)
• Usv Optical Inc

  • Eyewear Supplier
  • Blackwood, NJ
  • NPI 1578891008

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689716656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S BERNHARDT AVE",
            "city": "GERALD",
            "state": "MO",
            "postal_code": "630372316",
            "telephone_number": "573-764-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH COUNTY CENTERWAY",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631291009",
            "telephone_number": "314-892-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "KIRSTEN",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002015853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfreda Shields, FNP, PMHNP
• David Shields
• Ellie Shields
• Garrett Shields, DO
• Haniyyah Shields
• Lakaysha Shields, LMSW
• Margaret Foy Shields, RD
• Margaret L Shields, D.P.M.
• Steven R Shields, MD
• Tracy Ann Shields, MA,CCC-SLP

• Optometrist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Optometrist in Missouri

• 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.