Advanced Family Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ADVANCED FAMILY EYE CARE INC

Practice address

1724 W Kearney St Ste 116
Springfield, MO 65803-1692

Phone

(417) 865-4448

Fax

(417) 862-8704

NPI assigned

Mar 5, 2007

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli B Lemonier, ODNPI 1013105022

Title

Owner

Phone

(417) 865-4448

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

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

Locations

Practitioners 5

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.

• Eli B Lemonier, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1013105022
  Medicare reassignment NPD Authorized official
• Lyman D Cook, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1477593564
  Medicare reassignment NPD
• Marie Eleanor Batson, O.D.

  • Optometrist
  • Ozark, MO
  • NPI 1700871035
  NPD (past)
• Kevin Robert Kickham, OD

  • Optometrist
  • Springfield, MO
  • NPI 1912113713
  NPD (past)
• Kim N Pilkington, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1659444891
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1164551024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 W KEARNEY ST STE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031692",
            "telephone_number": "417-865-4448",
            "fax_number": "417-862-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W KEARNEY ST STE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031692",
            "telephone_number": "417-865-4448",
            "fax_number": "417-862-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "LEMONIER",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-865-4448",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR DR. CO",
            "identifier": "1477593564",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "AF26850",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "4178654448",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "TO2432",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "157403",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311305031",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502392707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "MO2432",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.