Warrensburg Optical Inc.
Organization Active NPI Optometrist · Warrensburg, MO
NPI 1104880772 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1104880772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- WARRENSBURG OPTICAL INC.
- Practice address
- 602 N Maguire St
Warrensburg, MO 64093-1420 - Phone
- (660) 747-7300
- Fax
- (660) 747-5322
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas W Hobbs, O.D.
- Title
- Owner/Optometrist
- Phone
- (660) 747-7300
Other NPIs on the same Medicare enrollment 2
Practitioners 4
-
Debbie Lynn D'Amico, O.D.
-
Mark D Curtis, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071221000546 | MO | Part B Supplier - Clinic/Group Practice | 1759471147 |
Receives reassigned benefits from 5 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Concordia, MO; Warrensburg, MO |
National Provider Directory
Locations
122 S Main St
Windsor, MO 65360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
602 N Maguire St
Warrensburg, MO 64093-1420
Mailing address
602 N Maguire St
Warrensburg, MO 64093-1420
Phone (660) 747-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04580012 | Other | BC BS KC 8 DIGIT BILLING NUMBER | |
| 04580012 | Other | BLUE CROSS BLUE SHIELD KC | |
| 321111403 | Medicaid | MO |
Other names
- Insight Eyecare
Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. 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.