Michael D. Killough, O.D. P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2528 Issued in AR

Legal business name

MICHAEL D. KILLOUGH, O.D. P.A.

Doing business as

Vision Care Consultants

Practice address

1801 Red Wolf Blvd
Suite 101
Jonesboro, AR 72401-5450

Phone

(870) 910-5493

Fax

(870) 336-1775

NPI assigned

Jul 22, 2009

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael D Killough, O.D. P.A.NPI 1306942503

Title

President

Phone

(870) 910-5493

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vision Care Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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.

• Michael Don Killough, OD

  • Optometrist
  • Jonesboro, AR
  • NPI 1306942503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1922238161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RED WOLF BLVD",
            "address_2": "SUITE 101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015450",
            "telephone_number": "870-910-5493",
            "fax_number": "870-336-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RED WOLF BLVD",
            "address_2": "SUITE 101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015450",
            "telephone_number": "870-910-5493",
            "fax_number": "870-336-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. KILLOUGH, O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "KILLOUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-910-5493",
        "authorized_official_credential": "O.D. P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155151722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Bradley Meurer, APRN-FAMILY
• Traci K Meurer, RN
• Amy Meyer
• Kathryn Meyers, MS, ATC, LAT, CSCS
• Micha Morgan Lamberson, Inc
• Michael L. Thompson, Ms, DDS, PLLC
• Michael Raborn MD PA
• Sara Faith Michael, LMSW
• Ana Milosevic Michunovich, D.O.
• Mid-South Health Systems Pharmacy

• Optometrist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.