Osage Eye Clinic PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R9E24 Issued in MO

Legal business name

OSAGE EYE CLINIC PC

Practice address

54 Hospital Dr
Osage Beach, MO 65065-3050

Phone

(573) 348-8002

Fax

(573) 348-1622

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Timothy D Lischwe, M.D.NPI 1730184151

Title

Owner

Phone

(573) 348-8002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Timothy D. Lischwe, M.D.

  • Corneal and Contact Management Optometrist
  • Osage Beach, MO
  • NPI 1730184151

  MO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1104157825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8002",
            "fax_number": "573-348-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8002",
            "fax_number": "573-348-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "LISCHWE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-348-8002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R9E24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwakunle Olalekan Oluwatosin, MD
• Patrick W. Oneil, D.O.
• Onsite Rehabilitation, PC
• Osage Beach Center for Behavioral Health, LLC
• Osage Beach Family Eyecare Inc.
• Osage Family Clinic, LLC
• Osage Valley Plastic Surgery PC
• Kelan Lane Osborn
• Carla Beth Ostronic, P.A.
• Ozark Rehabilitation & Health Care Center LLC

• All providers in Osage Beach, MO
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.