NPIMap

Organization Active NPI

Vision Rehabilitation Center of the Ozarks

  • Low Vision Rehabilitation Optometrist
  • Springfield, MO
National Provider Identifier
1003112012
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
T03116 Issued in MO
Legal business name
VISION REHABILITATION CENTER OF THE OZARKS
Practice address
1661 West Elfindale
Springfield, MO 65807-1287
Phone
(417) 831-0555
Fax
(417) 831-0532
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jacqueline V. Craig
Title
Administrative Assistant
Phone
(417) 831-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X T03116 MO
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X T03116 MO Primary

Addresses

Primary practice location

1661 West Elfindale
Springfield, MO 65807-1287

Mailing address

1661 West Elfindale
Springfield, MO 65807-1287
Phone (417) 831-0555

Other identifiers 2

IdentifierTypeStateIssuer
317857019MedicaidMO
317857001MedicaidMO

National Provider Directory

National Provider Directory

Networks

  • devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1003112012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 WEST ELFINDALE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071287",
            "telephone_number": "417-831-0555",
            "fax_number": "417-831-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 WEST ELFINDALE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071287",
            "telephone_number": "417-831-0555",
            "fax_number": "417-831-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION REHABILITATION CENTER OF THE OZARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "417-831-0555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03116",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T03116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317857019",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317857001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.