Village Eye Doc LLC
Organization Active NPI Optometrist · Branson West, MO
NPI 1073376752 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1073376752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- VILLAGE EYE DOC LLC
- Practice address
- 18593 Business 13 Ste 206
Branson West, MO 65737-9319 - Phone
- (417) 527-5787
- Fax
- (417) 785-2452
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Dana E Turner, OD
- Title
- Authorized Official/President/OD
- Phone
- (417) 527-5787
Practitioners 1
-
Dana Elizabeth Turner, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240329001636 | MO | Part B Supplier - Clinic/Group Practice | 3476991225 |
Receives reassigned benefits from 1 practitioner Practice locations: Branson West, MO |
National Provider Directory
Locations
18593 Business 13
Ste 206
Reeds Spring, MO 65737
Phone (417) 444-3364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
18593 Business 13 Ste 206
Branson West, MO 65737-9319
Mailing address
18593 Business 13 Ste 206
Branson West, MO 65737-9319
Phone (417) 527-5787
Other providers in Branson West, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.