Individual provider Active NPI

Elizabeth M Kilgore, O.D.

  • Optometrist
  • Cherokee Village, AR
National Provider Identifier
1770897076
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2656 Issued in AR
Practice address
197 Hospital Dr Ste a
Cherokee Village, AR 72529-7315
Phone
(870) 257-2100
Fax
(870) 257-4395
NPI assigned
Jul 29, 2010
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2656 AR Primary

Addresses

Primary practice location

197 Hospital Dr Ste a
Cherokee Village, AR 72529-7315

Mailing address

197 Hospital Dr Ste a
Cherokee Village, AR 72529-7315
Phone (870) 257-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20101117001274 AR Practitioner - Optometry 4183819071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hayden Sowers Optometry PAGroup PAC ID 0042434979, 2 clinicians

Practice addresses (Care Compare)

2402 Harrison St
Batesville, AR 72501-7421
Phone (870) 834-3339

Merit-based Incentive Payment System (MIPS)

Final score
91.56 of 100Reported as group
Quality
63.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2656ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Vision, P.L.L.C. Optometrist CurrentSince Oct 20, 2021 Accepting new patients
Hayden Sowers Optometry PA Optometrist CurrentSince Aug 16, 2024 Accepting new patients
James Eyecare Center, Inc Optometrist CurrentSince May 22, 2020 Accepting new patients
Progressive Eye Center & Boutique Optometrist Past Accepting new patients

Locations

3609 Highway 367 N
Bald Knob, AR 72010
Phone (501) 724-2002

2402 Harrison St
Batesville, AR 72501
Phone (870) 793-4681

1911 W Parker Rd
Jonesboro, AR 72404
Phone (615) 415-3020

16623 Cantrell Rd
Ste 2D
Little Rock, AR 72223
Phone 50177303124680

6411 Valley Ranch Dr
Little Rock, AR 72223
Phone (501) 687-0826

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1770897076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HOSPITAL DR STE A",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297315",
            "telephone_number": "870-257-2100",
            "fax_number": "870-257-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HOSPITAL DR STE A",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725297315",
            "telephone_number": "870-257-2100",
            "fax_number": "870-257-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee Village, AR

Sources for this page

Verify at the official NPI Registry.