DR. KEVIN W. HICKS (NPI# 1821060419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821060419 |
| Entity Type | Individual |
| Full Name | DR. KEVIN W. HICKS |
| Credential | OD |
| Practice Address |
131 Eureka Towne Center Dr Eureka MO 63025-1031 |
| Practice Telephone | 6365879775 |
| Practice Fax Number | 6365879796 |
| Mailing Telephone | 6365879775 |
| Mailing Fax Number | 6365879796 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02874 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530793 | Kevin Hicks | Private Vehicle | 122 N Plains Dr, Petersburg, VA 23805-9110 | 2019-10-23 |
| 1649311648 | Kevin Hicks | Physical Therapist | 121 Cahill Rd Ste 101, Branson, MO 65616-2036 | 2007-02-11 |
| 1427106624 | Kevin Andrew Hicks | Neuromusculoskeletal Medicine & OMM | 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 | 2007-01-06 |
| 1982704789 | Kevin Bernard Hicks | Family Medicine | 6105 Peachtree Dunwoody Rd Ste C115, Atlanta, GA 30328-5943 | 2006-09-22 |
| 1750381208 | Kevin L. Hicks | Dentist | 100 Highlands Dr. Suite 209, Lititz, PA 17543 | 2005-07-27 |
| 1073741286 | Kevin Hicks | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2009-06-25 |
| 1689855702 | Kevin Richard Hicks | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560-0492 | 2007-11-16 |
| 1730380072 | Kevin Spencer Hicks | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664 | 2007-05-31 |
| 1669490413 | Kevin O. Hicks | Specialist | 113 Nationwide Dr, Lynchburg, VA 24502-4272 | 2006-07-18 |
| 1851346597 | Kevin Howard Hicks | Physical Therapist | 1104 E Grace St, Jasper County Hospital, Rensselaer, IN 47978-3211 | 2006-05-23 |
| Street Address |
131 EUREKA TOWNE CENTER DR |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497342 | Nancy Rhea Stine | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2020-11-02 |
| 1760807598 | Jennifer Decker | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2014-03-04 |
| 1386085348 | Jacob Sullivan Krebs | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2013-07-07 |
| 1780767061 | Wal-mart Stores East, Lp | Technician/Technologist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-10-23 |
| 1598782856 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588953632 | Grizzly Eye Center, PC | Optometrist | 317 Dewey Avenue, Eureka, MT 59917 | 2011-03-29 |
| 1194022434 | Visioncare of California | Optometrist | 1209 Broadway, Eureka, CA 95501-0129 | 2011-02-23 |
| 1841525920 | Aaron Douglas Cole | Optometrist | 2773 Harris St Ste H, Eureka, CA 95503-4866 | 2009-10-07 |
| 1275704116 | Michael J Duffy Od | Optometrist | 501 North Main, Eureka, KS 67045-1315 | 2008-03-19 |
| 1619161502 | Kootenai Vision Centers PC | Optometrist | 602 Dewey Ave, Suite 300, Eureka, MT 59917-0960 | 2007-09-04 |
| 1851432264 | David Barry Flemmons | Optometrist | 1209 Broadway St, Sterling Vision Care, Eureka, CA 95501 | 2007-02-09 |
| 1770635831 | Kenneth Lesley Kaiser | Optometrist | 215 2nd St, Eureka, CA 95501-0319 | 2007-01-17 |
| 1568524213 | Zuzana Roos Gellner | Optometrist | 2369 Harrison Ave, Eureka, CA 95501-3216 | 2006-12-15 |
| 1205809928 | Paul Richard King | Optometrist | 550 Russ St, Ana C King II Memorial Bldg, Eureka, CA 95501 | 2006-02-13 |
| 1558344937 | Gregory Randolph Boschert | Optometrist | 101 S. Central Ave. Pobox 537, Eureka, MO 63025-2002 | 2005-11-21 |
| Find all providers in EUREKA | ||||
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| 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.