Organization Active NPI

Abby Kilgore O.D,P.C.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1922150762
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ABBY KILGORE O.D,P.C.
Practice address
9838 Clayton Rd
Saint Louis, MO 63124-1604
Phone
(314) 993-4399
Fax
(314) 567-3989
NPI assigned
Jan 18, 2007
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Abby C. Kilogre
Title
President
Phone
(314) 993-4399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MO Primary

Addresses

Primary practice location

9838 Clayton Rd
Saint Louis, MO 63124-1604

Mailing address

9838 Clayton Rd
Saint Louis, MO 63124-1604
Phone (314) 993-4399

Other identifiers 1

IdentifierTypeStateIssuer
14053OtherMOSPECTERA

National Provider Directory

National Provider Directory
Tax ID family
Abby Kilgore Odpc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9838 Clayton Rd
Saint Louis, MO 63124
Phone (314) 993-4399

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1922150762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241604",
            "telephone_number": "314-993-4399",
            "fax_number": "314-567-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9838 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241604",
            "telephone_number": "314-993-4399",
            "fax_number": "314-567-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY KILGORE O.D,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "KILOGRE",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-993-4399",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14053",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.