KATHLEEN GORE AVERY (O.D.) – Optometrist, NPI 1417085820

KATHLEEN GORE AVERY (O.D.) is a healthcare provider. based in O fallon, Missouri. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. TO2659 (MO). The NPI Number for KATHLEEN GORE AVERY (O.D.) is 1417085820

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN GORE AVERY (O.D.)
NPI
1417085820
Phone
(636) 561-3937
Address
3013 WINGHAVEN BLVD
Enumeration Date
28 February 2007
Last Update Date
14 October 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
6365613937
Graduation Year
1985 (41 years ago)
PAC ID
9931438041
Group Practice PAC ID
2961443395
Professional Enrollment ID
I20190913001977
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KATHLEEN GORE AVERY (O.D.)

  • 3013 WINGHAVEN BLVD

    O FALLON, MO 633683600

    Phone: (636) 561-3937

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961443395View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO

Reviews

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Frequently asked questions

Where can patients find KATHLEEN GORE AVERY (O.D.)'s NPI?
You can confirm KATHLEEN GORE AVERY (O.D.) with NPI 1417085820; it appears in the national provider directory.
Does this profile mean KATHLEEN GORE AVERY (O.D.) is currently active?
Yes — KATHLEEN GORE AVERY (O.D.) appears active in the national provider directory.
What kind of provider is KATHLEEN GORE AVERY (O.D.)?
The page reflects Optometrist for KATHLEEN GORE AVERY (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for KATHLEEN GORE AVERY (O.D.)?
We surface O Fallon, Missouri for KATHLEEN GORE AVERY (O.D.) based on available NPPES addresses.
Is KATHLEEN GORE AVERY (O.D.) a real provider?
This page reflects official NPPES data for NPI 1417085820. Always confirm identity and privileges with the practice and licensing boards.

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