Organization Active NPI

Missouri Eye Institute LLC

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1144277252
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MISSOURI EYE INSTITUTE LLC
Practice address
1531 E Bradford Pkwy
Suite 100
Springfield, MO 65804-6566
Phone
(417) 887-3900
Fax
(417) 887-3221
NPI assigned
May 27, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. Francis Charles Jansen, M.D.NPI 1770578239
Title
Member
Phone
(417) 887-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1531 E Bradford Pkwy
Suite 100
Springfield, MO 65804-6566

Mailing address

1531 E Bradford Pkwy
Suite 100
Springfield, MO 65804-6566
Phone (417) 887-3900

Other identifiers 4

IdentifierTypeStateIssuer
CJ4613OtherMOMEDICARE RAILROAD GROUP
CJ4614OtherMOMEDICARE RAILROAD GROUP
508027802MedicaidMO
1144277252OtherMONPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040712001026 MO Part B Supplier - Clinic/Group Practice 6204814692 Receives reassigned benefits from 10 practitioners
Practice locations: Springfield, MO; Bolivar, MO; Ava, MO
O20040831001053 MO Part B Supplier - Clinic/Group Practice 6204814692 Receives reassigned benefits from 8 practitioners
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

680 E Aldrich Rd
Bolivar, MO 65613
Phone (417) 777-9000

1000 James F Epps Rd
Ste 2
Branson, MO 65616
Phone (417) 334-5752

413 Ozark St
Cabool, MO 65689
Phone (417) 962-3174

1905 W 32nd St
Ste 301
Joplin, MO 64804
Phone (417) 624-8408

1350 Spur Dr
Ste 150
Marshfield, MO 65706
Phone (417) 468-6682

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1144277252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E BRADFORD PKWY",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046566",
            "telephone_number": "417-887-3900",
            "fax_number": "417-887-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 E BRADFORD PKWY",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046566",
            "telephone_number": "417-887-3900",
            "fax_number": "417-887-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-887-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CJ4613",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CJ4614",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508027802",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144277252",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.