Douglas Scott Kirar, OD
Individual provider Active NPI Optometrist · Bolirar, MO
NPI 1982709697 · NPPES record last updated Aug 18, 2013
Key facts
- NPI
- 1982709697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- MO2003025605 (MO)
- Practice address
- 2451 S Springfield Ave
Wal-Mart Vision Center #0046
Bolirar, MO 65613 - Phone
- (417) 777-7662
- Fax
- (417) 777-6917
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bolivar Vision, LLC
El Dorado Vision LLC
Practice addresses (Care Compare)
680 E Aldrich Rd
Bolivar, MO 65613-2573
Phone (417) 777-9000
701 E Hospital Rd
El Dorado Springs, MO 64744-2316
Phone (417) 876-6052
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 112 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040123000168 | MO | Practitioner - Optometry | 5698677326 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO2003025605 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolivar Vision, LLC | Optometrist | Current |
Accepting new patients |
| El Dorado Vision LLC | Optometrist | Current |
Accepting new patients |
| Missouri Eye Institute LLC | Optometrist | Past |
Accepting new patients |
Locations
680 E Aldrich Rd
Bolivar, MO 65613
Phone (417) 777-9000
701 E Hospital Rd
El Dorado Springs, MO 64744
Phone (417) 876-6052
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MO2003025605 | MO | Yes |
Addresses
Primary practice location
2451 S Springfield Ave
Wal-Mart Vision Center #0046
Bolirar, MO 65613
Mailing address
508 E Petty Lane
Stockton, MO 65785
Phone (417) 276-6254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20103 | Other | SPECTERA | |
| 47645 | Other | DAVIS VISION | |
| 214012 | Other | COLE VISION |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.