Eyecare Specialties Of Missouri LLC
Optometrist in Warrensburg, MO. Organization (NPI-2).
NPI number1730596248
StatusActive
Last updated in NPPESMay 18, 2016
Details
- NPI
- 1730596248
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyecare Specialties Of Missouri LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2014
- Last updated
- May 18, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – |
Other names
- Eyecare Specialites (Doing Business As)
Practice location
601 E Russell AveSuite A
Warrensburg, MO 64093-9605
Phone 660-747-2020 · Fax 660-747-0574
Mailing address
601 E Russell AveSuite A
Warrensburg, MO 64093-9605
Phone 660-747-2020 · Fax 660-747-0574
Authorized official
Nicole E Gaither
Insurance Dept.
6608857116
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Warrensburg, MO
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- Katelyn Hardy, ODNPI 1720601719
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- Emerald Grace Jones, ODNPI 1235934845
- Kenneth J Keirsey, O.D.NPI 1689638785
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All 18 Optometrist providers in Warrensburg · All 622 providers in Warrensburg
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