Eyecare Specialties of Missouri LLC
A Medicare group practice based in Lees Summit, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9931421187), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9931421187
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MO
- Enrollments
- 2
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20160608002462 | MO | DME Supplier - Physician - Optometrist | 1720453251 |
| O20141125002051 | MO | Part B Supplier - Clinic/Group Practice | 1730596248 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Eyecare Specialties of Missouri LLC
dba Eyecare Specialties
- Optometrist
- Lee's Summit, MO
- NPI 1720453251
-
Eyecare Specialties of Missouri LLC
dba Eyecare Specialites
- Optometrist
- Warrensburg, MO
- NPI 1730596248
Practice locations
- Lees Summit, MO2
- Sedalia, MO1
- Columbia, MO1
- Warrensburg, MO1
- Clinton, MO1
- Belton, MO1
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (12).
-
David Edward Baldwin
- Optometrist
- Sedalia, MO
- NPI 1356960579
-
Aggie R Bruemmer, OD
- Optometrist
- Springfield, MO
- NPI 1972287548
-
John B Gelvin, OD
- Optometrist
- Lee's Summit, MO
- NPI 1396716700
-
Katelyn Hardy, OD
- Optometrist
- Warrensburg, MO
- NPI 1720601719
-
Paige Elizabeth Hart, OD
- Optometrist
- Warrensburg, MO
- NPI 1275265076
-
Kyle Dale Johnson, O.D.
- Optometrist
- Clinton, MO
- NPI 1699785410
-
Jason S. Lake, O.D.
- Optometrist
- Warrensburg, MO
- NPI 1629022777
-
Susan Lake, O.D.
- Vision Therapy Optometrist
- Warrensburg, MO
- NPI 1285687210
-
Aaron Samuel Law, O.D.
- Optometrist
- Belton, MO
- NPI 1255587242
-
Brett H Liesemeyer, OD
- Optometrist
- Sedalia, MO
- NPI 1225117518
-
David E Orson, OD
- Optometrist
- Lee's Summit, MO
- NPI 1043290562
-
Macy Breanne Roller, OD
- Optometrist
- Columbia, MO
- NPI 1871223883
-
Kelsey Starman
- Pediatric Optometrist
- Warrensburg, MO
- NPI 1265997522
-
Shelley Williams, O.D.
- Optometrist
- Columbia, MO
- NPI 1750384111
-
Andrew R Yeager
- Optometrist
- Sedalia, MO
- NPI 1497249429
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.