Missouri Eye Institute Llc | |
1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 | |
(417) 887-3900 | |
(417) 887-3221 |
Full Name | Missouri Eye Institute Llc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1531 E Bradford Pkwy, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144277252 | NPI | - | NPPES |
1144277252 | Other | MO | NPI |
CJ4614 | Other | MO | MEDICARE RAILROAD GROUP |
508027802 | Medicaid | MO | |
CJ4613 | Other | MO | MEDICARE RAILROAD GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Bethany J Whitesell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861486946 PECOS PAC ID: 3678535358 Enrollment ID: I20041104000007 |
Provider Name | Larry W Meyer |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245226463 PECOS PAC ID: 2961450622 Enrollment ID: I20050110000363 |
Provider Name | Chad L Carter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255323648 PECOS PAC ID: 5092813451 Enrollment ID: I20070607000613 |
Provider Name | Francis C Jansen |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770578239 PECOS PAC ID: 7618977570 Enrollment ID: I20100217000174 |
Provider Name | Daniel R Osborn |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093701211 PECOS PAC ID: 1557361078 Enrollment ID: I20100607000106 |
Provider Name | Michael J Roberts |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184153793 PECOS PAC ID: 4880964006 Enrollment ID: I20170720003378 |
Provider Name | Aubrey L Roberts |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679002927 PECOS PAC ID: 8820368988 Enrollment ID: I20170721001715 |
Provider Name | Brittany L Setzer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902254063 PECOS PAC ID: 7416214754 Enrollment ID: I20171122000599 |
Provider Name | Lucas Theodore Lenci |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912310392 PECOS PAC ID: 3577856459 Enrollment ID: I20190312001069 |
Provider Name | Andrew R Osborn |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811493729 PECOS PAC ID: 5597010249 Enrollment ID: I20220721001697 |
Mailing Address | Practice Location Address |
---|---|
Missouri Eye Institute Llc 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 Ph: (417) 887-3900 | Missouri Eye Institute Llc 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 Ph: (417) 887-3900 |