Individual provider Active NPI

Abby C. Kilgore, O.D.

  • Optometrist
  • Wentzville, MO
National Provider Identifier
1699744656
Registry record updated Dec 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005021611 Issued in MO
Practice address
1950 Wentzville Pkwy
Wentzville, MO 63385-3453
Phone
(314) 994-4399
Fax
(800) 432-6004
NPI assigned
Mar 14, 2006
Last updated
Dec 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005021611 MO Primary

Addresses

Primary practice location

1950 Wentzville Pkwy
Wentzville, MO 63385-3453

Mailing address

1950 Wentzville Pkwy
Wentzville, MO 63385-3453
Phone (636) 639-5004

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
I20050921000610 MO Practitioner - Optometry 7113951914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abby Kilgore O.D,P.C.Group PAC ID 3577621820, 2 clinicians

Practice addresses (Care Compare)

1950 Wentzville Pkwy
Wentzville, MO 63385-3453
Phone (636) 639-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nucrown,Inc. Optometrist CurrentSince Aug 1, 2005 Accepting new patients
Abby Kilgore O.D,P.C. Optometrist CurrentSince Oct 15, 2008 Accepting new patients
Nu-Crown, LLC Optometrist CurrentSince Aug 1, 2005 Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

1400 Forum Blvd
Columbia, MO 65203
Phone (573) 446-0331

4145 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 533-1898

569 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 970-2020

1950 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-6700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324857600000",
    "number": "1699744656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853453",
            "telephone_number": "636-639-5004",
            "fax_number": "636-639-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853453",
            "telephone_number": "314-994-4399",
            "fax_number": "800-432-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "ABBY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005021611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.