Organization Active NPI

Sedalia Eye Associates, P. C.

  • Durable Medical Equipment & Medical Supplies
  • Warsaw, MO
National Provider Identifier
1053454728
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SEDALIA EYE ASSOCIATES, P. C.
Practice address
1330 Comercial St
Suite 202
Warsaw, MO 65355-1599
Phone
(660) 438-6699
Fax
(660) 438-4450
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Mark Taylor Cox, M.D.NPI 1265437990
Title
Owner
Phone
(660) 438-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1330 Comercial St
Suite 202
Warsaw, MO 65355-1599

Mailing address

3400 W 10TH St
Sedalia, MO 65301-2198
Phone (660) 827-1120

Other names 1

  • Warsaw Optical Shop Other name

National Provider Directory

National Provider Directory

Locations

1330 Commercial St
Ste 202
Warsaw, MO 65355
Phone (660) 438-6699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1053454728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012198",
            "telephone_number": "660-827-1120",
            "fax_number": "660-827-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COMERCIAL ST",
            "address_2": "SUITE 202",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653551599",
            "telephone_number": "660-438-6699",
            "fax_number": "660-438-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDALIA EYE ASSOCIATES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-438-6699",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warsaw Optical Shop",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warsaw, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.