Active NPI
Devon Paul Jarvis, O.D.
- Optometrist
- Willard, MO
National Provider Identifier
1124069208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2005020864
- Practice address
- 302 Procter Rd
Willard, MO 65781-9144 - Phone
- (417) 742-2733
- Fax
- (417) 742-2237
- NPI assigned
- Jun 9, 2006
- Last updated
- May 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2005020864 | MO | Primary |
Addresses
Primary practice location
302 Procter Rd
Willard, MO 65781-9144
Mailing address
302 Procter Rd
Willard, MO 65781-9144
Phone (417) 742-2733
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
302 E Proctor Rd
Willard, MO 65781-9144
Phone (417) 742-2733
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jarvis Family Eye Center, LLC | Optometrist | Current | Accepting new patients |
Locations
302 Procter Rd
Willard, MO 65781
Phone (417) 742-2733
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1124069208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PROCTER RD",
"city": "WILLARD",
"state": "MO",
"postal_code": "657819144",
"telephone_number": "417-742-2733",
"fax_number": "417-742-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 PROCTER RD",
"city": "WILLARD",
"state": "MO",
"postal_code": "657819144",
"telephone_number": "417-742-2733",
"fax_number": "417-742-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "DEVON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2005020864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willard, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.