Vision Care Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION CARE ASSOCIATES, LLC

Practice address

1705 Prospect Dr
Macon, MO 63552-2602

Phone

(660) 385-5724

Fax

(660) 385-3924

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark V. Maddox, O.D.

Title

Owner/Manager

Phone

(660) 385-5724

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1013093681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522602",
            "telephone_number": "660-385-5724",
            "fax_number": "660-385-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522602",
            "telephone_number": "660-385-5724",
            "fax_number": "660-385-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "660-385-5724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDCPC ID",
            "identifier": "RS13708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535080006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Strupp, MD, MBA
• Surgical Care Center, LLC
• Jason Lee Taylor, PHARM D
• Matthew Theriac, D.D.S.
• Thomas Thurman, D.C.
• Wal-Mart Stores East LP
• Karyn Leslie Walters, PTA
• Lacey Chantelle Watts
• Chelsea Lynn Wells, LMSW
• Clayton Earl Whetmore, D.O.

• Optometrist in Macon, MO
• Providers in Macon, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.