Organization Active NPI

Hunt & Nosacka Optometric Group P.C.

Doing business as SEMO Vision Care

  • Optometrist
  • Malden, MO
National Provider Identifier
1871867408
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2010003758 Issued in MO
Legal business name
HUNT & NOSACKA OPTOMETRIC GROUP P.C.
Doing business as
SEMO Vision Care
Practice address
1122 N Douglass St
Malden, MO 63863-1342
Phone
(573) 276-3239
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Kamron Ray Hunt, O.D.NPI 1942532486
Title
Optometrist
Phone
(573) 714-2075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2010003758 MO Primary

Addresses

Primary practice location

1122 N Douglass St
Malden, MO 63863-1342

Mailing address

1122 N Douglass St
Malden, MO 63863-1342
Phone (573) 276-3239

Other names 1

  • SEMO Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120423000633 MO Part B Supplier - Clinic/Group Practice 0042471831 Receives reassigned benefits from 2 practitioners
Practice locations: Malden, MO
O20130516000239 MO DME Supplier - Physician - Optometrist 0042471831 Practice locations: Malden, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Semo Vision Care1122 N Douglass St, Malden, MO 63863-1342(573) 276-3239 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 27, 2012

National Provider Directory

National Provider Directory

Locations

1122 N Douglass St
Malden, MO 63863
Phone (573) 276-3239

Interoperability endpoints

  • Direct secure messaging: dpnosacka@semovisioncare.eyefinity-direct.com
  • Direct secure messaging: khunt@semovisioncare.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1871867408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N DOUGLASS ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638631342",
            "telephone_number": "573-276-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N DOUGLASS ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638631342",
            "telephone_number": "573-276-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNT & NOSACKA OPTOMETRIC GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KAMRON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "573-714-2075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2010003758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMO Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malden, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.