KRISTIN LEIGH HAM (OD) – Optometrist, NPI 1417915935

KRISTIN LEIGH HAM (OD) is a healthcare provider. based in Ozark, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009634 (IL). The NPI Number for KRISTIN LEIGH HAM (OD) is 1417915935

Main info

Female
Sole Proprietor
25 Years Of Experience
Name
KRISTIN LEIGH HAM (OD)
NPI
1417915935
Phone
(309) 369-7486
Address
2716 N 25TH ST
Enumeration Date
3 May 2006
Last Update Date
31 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164541030
Graduation Year
2001 (25 years ago)
PAC ID
2264465442
Group Practice PAC ID
0749272656
Professional Enrollment ID
I20121005000268
Address ID
MO641185176GL6000XTRFY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for KRISTIN LEIGH HAM (OD)

  • 2716, North 25th Street, Ozark Heights, Ozark, Christian County, Missouri, 65721, United States

    OZARK, MO 657219130

    Phone: (309) 369-7486

    Type: Mailing

  • Cuts Plus, 2600, Ensign Hill Drive, Platte City, Platte County, Missouri, 64079, United States

    SUITE F

    PLATTE CITY, MO 640797836

    Phone: (816) 431-2202

    Fax: (816) 431-2205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($71).

Total Amount

$95

General + Research + Ownership

Payments

4

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121005000268IOptometryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 65721)

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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: 0749272656View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the standard ID for KRISTIN LEIGH HAM (OD) in the U.S.?
In the U.S., KRISTIN LEIGH HAM (OD) is identified by NPI 1417915935.
Quick check: is KRISTIN LEIGH HAM (OD) active?
Public NPPES data shows KRISTIN LEIGH HAM (OD) with an active NPI status right now.
Which specialty label fits KRISTIN LEIGH HAM (OD)?
NPPES ties KRISTIN LEIGH HAM (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTIN LEIGH HAM (OD)?
KRISTIN LEIGH HAM (OD) shows a connection to Ozark, Missouri in registry-derived data.
Who maintains KRISTIN LEIGH HAM (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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