Organization Active NPI

Pyatt Eye Care LLC

  • Optometrist
  • Potosi, MO
National Provider Identifier
1144471863
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008017062 Issued in MO
Legal business name
PYATT EYE CARE LLC
Practice address
307 N Missouri St
Potosi, MO 63664-1747
Phone
(573) 438-3415
Fax
(573) 438-7667
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Sara Pyatt, O.D.NPI 1942462965
Title
Owner/Optometrist
Phone
(314) 607-3260

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2008017062 MO Primary

Addresses

Primary practice location

307 N Missouri St
Potosi, MO 63664-1747

Mailing address

307 N Missouri St
Potosi, MO 63664-1747
Phone (573) 438-3415

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090107000544 MO Part B Supplier - Clinic/Group Practice 8628139763 Receives reassigned benefits from 1 practitioner
Practice locations: Potosi, MO
O20190125000248 MO DME Supplier - Physician - Optometrist 8628139763 Practice locations: Potosi, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pyatt Eye Care307 N Missouri St, Potosi, MO 63664-1747(573) 438-3415 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 2008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1144471863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MISSOURI ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641747",
            "telephone_number": "573-438-3415",
            "fax_number": "573-438-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MISSOURI ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641747",
            "telephone_number": "573-438-3415",
            "fax_number": "573-438-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYATT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "PYATT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "314-607-3260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.