Organization Active NPI

Sedalia Eye Associates, P.C.

  • Ophthalmology Physician
  • Sedalia, MO
National Provider Identifier
1154327567
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MO103828 Issued in MO
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

Updated by the provider on Oct 29, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
505368803MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.