Individual provider Active NPI

Erin Mayfield, OD

  • Optometrist
  • Lamar, MO
National Provider Identifier
1104407261
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2021021171 Issued in MO
Practice address
808 Gulf St
Lamar, MO 64759-1239
Phone
(417) 682-3301
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2021021171 MO Primary

Addresses

Primary practice location

808 Gulf St
Lamar, MO 64759-1239

Mailing address

808 Gulf St
Lamar, MO 64759-1239
Phone (417) 682-3301

Other practice location 1

722 West St
Stockton, MO 65785-7555
Phone (417) 276-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000609 MO Practitioner - Optometry 6800297201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swearingen and Burton LLCGroup PAC ID 5193855088, 4 clinicians

Practice addresses (Care Compare)

722 W St
Stockton, MO 65785-7555
Phone (417) 276-7070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021021171MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Swearingen and Burton LLC Optometrist CurrentSince Jun 15, 2021 Accepting new patients

Locations

808 Gulf St
Lamar, MO 64759
Phone (417) 682-3301

120 S Washington St
Nevada, MO 64772
Phone (417) 667-2560

722 West St
Stockton, MO 65785
Phone (417) 276-7070

121 W Broadway St
Webb City, MO 64870
Phone (417) 250-2828

Interoperability endpoints

  • Direct secure messaging: erin.mayfield@direct.revolutionehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1104407261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GULF ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591239",
            "telephone_number": "417-682-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GULF ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591239",
            "telephone_number": "417-682-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 West St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "MO",
            "postal_code": "657857555",
            "country_code": "US",
            "telephone_number": "417-276-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "ERIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2021021171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

Verify at the official NPI Registry.