Active NPI
Sedalia Eye Associates, P.C.
- Ophthalmology Physician
- Sedalia, MO
National Provider Identifier
1154327567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MO103828
- Legal business name
- SEDALIA EYE ASSOCIATES, P.C.
- Practice address
- 3400 W 10TH St
Sedalia, MO 65301-2198 - Phone
- (660) 827-1120
- Fax
- (660) 827-2756
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Taylor Cox, M.D.
- Title
- Owner
- Phone
- (660) 827-1120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MO103828 | MO | Primary |
Addresses
Primary practice location
3400 W 10TH St
Sedalia, MO 65301-2198
Mailing address
3400 W 10TH St
Sedalia, MO 65301-2198
Phone (660) 827-1120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505368803 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
1330 Commercial St
#202
Warsaw, MO 65355
Phone (660) 438-6699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225238400000",
"number": "1154327567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W 10TH ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012198",
"telephone_number": "660-827-1120",
"fax_number": "660-827-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W 10TH ST",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012198",
"telephone_number": "660-827-1120",
"fax_number": "660-827-2756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEDALIA EYE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2008-10-29",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "TAYLOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-827-1120",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MO",
"license": "MO103828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505368803",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.