KIES EYE CENTER, LLC (NPI# 1376505248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376505248 |
| Entity Type | Organization |
| Organization Name | KIES EYE CENTER, LLC |
| Practice Address |
1429 N Mount Auburn Rd Cape Girardeau MO 63701-2171 |
| Practice Telephone | 5733359175 |
| Practice Fax Number | 5733343390 |
| Mailing Telephone | 5733359175 |
| Mailing Fax Number | 5733343390 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | DAVID C ANDERSON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5733359175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | DC6364 | 01 |
| MO | BLUECROSS BLUE SHIELD | 105645 | 01 |
| Street Address |
1429 N MOUNT AUBURN RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922078088 | Matthew J Coleman | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-01-23 |
| 1972778579 | G A Endoscopy Center, LLC | Clinic/Center | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2008-04-24 |
| 1952419129 | Earl R Metcalf | Nurse Anesthetist, Certified Registered | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-08-28 |
| 1356388557 | Timothy J Edwards | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-05-31 |
| 1720035439 | Gastroenterology Associates of Southeast Mo, PC | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-05-28 |
| 1598727463 | Cape Girardeau Outpatient Surgery Center | Clinic/Center | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-04-05 |
| 1437129509 | Horace Lee Schneider | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-01-23 |
| 1487624557 | Dean A Edwards | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013715 | Charles Hugo Cozean | Ophthalmology | 56 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-02-21 |
| 1700850500 | Derrall Shawn Parker | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2006-02-16 |
| 1740286194 | Carl Nelson Ringer | Ophthalmology | 64 Doctors Park, Cape Girardeau, MO 63703-4928 | 2005-06-21 |
| 1285881573 | Hill Vision Services, LLC | Ophthalmology | 319 S Silver Springs Rd, Cape Girardeau, MO 63703-6311 | 2008-08-19 |
| 1316071780 | Eye Care Specialists, LLC | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2007-03-15 |
| 1114051661 | David John Westrich | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2007-03-15 |
| 1154359826 | David D Kim | Ophthalmology | 360 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2006-06-29 |
| 1942278916 | Richard L. Kies | Ophthalmology | 64 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-03-08 |
| 1144293697 | Marybeth Esswein Kapp | Ophthalmology | 3065 William St, Suite 207, Cape Girardeau, MO 63703-6393 | 2006-02-07 |
| 1689670887 | Todd James Lumsden | Ophthalmology | 64 Doctors Park, Cape Girardeau, MO 63703-4928 | 2005-06-22 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on KIES EYE CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.