Provider Demographics
NPI:1922103308
Name:HOOD-KIRAR, ALISON LEIGH (OD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LEIGH
Last Name:HOOD-KIRAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9069
Mailing Address - Country:US
Mailing Address - Phone:417-820-9393
Mailing Address - Fax:
Practice Address - Street 1:505 N 25TH ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-9069
Practice Address - Country:US
Practice Address - Phone:417-820-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO2003015541152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO47638OtherDAVIS VISION
AR170191722Medicaid
MO23669OtherSPECTERA
431560263OtherTRICARE WEST
MO212031OtherCOLE VISION
000025600Medicare ID - Type Unspecified
MO132680012Medicare PIN
U97624Medicare UPIN
256004140Medicare PIN
AR170191722Medicaid