Pierce Vision Specialists, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PIERCE VISION SPECIALISTS, LLC

Doing business as

Pierce Vision Specialists

Practice address

3626 South Ave
Springfield, MO 65807-6069

Phone

(417) 887-7151

Fax

(417) 887-7153

NPI assigned

Dec 26, 2012

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Marie Kallmbah

Title

Office Manager

Phone

(417) 887-7151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pierce Vision Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David M Pierce, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1316062722
  Medicare reassignment Care Compare group NPD
• Courtney L Wintjen, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1801907670
  Medicare reassignment Care Compare group NPD
• Melissa Broaddus, O.D.

  • Optometrist
  • Memphis, TN
  • NPI 1376977439

  MO

  Medicare reassignment Care Compare group NPD
• Julia Mobilio, OD

  • Optometrist
  • Marysville, MI
  • NPI 1962926634

  MO

  Medicare reassignment NPD
• Carol L Scott, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1467577866
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1063758878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 SOUTH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076069",
            "telephone_number": "417-887-7151",
            "fax_number": "417-887-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 SOUTH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076069",
            "telephone_number": "417-887-7151",
            "fax_number": "417-887-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 E Bradford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046563",
            "country_code": "US",
            "telephone_number": "417-887-7151",
            "fax_number": "417-887-7153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIERCE VISION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "KALLMBAH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-887-7151"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063758878",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce Vision Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pierce Vision Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Therapy Care,Manual P.T. & Industrial Rehab.Centerp.C. (Physical Therapy Care,P.C.)
• Physicians for Breast Health, L.L.C.
• Cherrie L Pickett, FNP
• Trevor G. Pickett, CRNA
• Jacob Pieper, OD
• David M Pierce, O.D.
• Emilee Pierce
• Laquita Pierce
• Rebekah Elizabeth Pierce, NP-C
• Teresa J Pierpont

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.