Advanced Family Eye Care Inc
Organization Active NPI Optometrist · Springfield, MO
NPI 1164551024 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1164551024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 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
- Organization subpart
- No
Authorized official
- Name
- Eli B Lemonier, OD
- Title
- Owner
- Phone
- (417) 865-4448
Practitioners 5
-
Lyman D Cook, O.D.
-
Eli B Lemonier, O.D.
-
Marie Eleanor Batson, O.D.
-
Kim N Pilkington, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Family Eye Care |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000013 | MO | Part B Supplier - Clinic/Group Practice | 9133197593 |
Receives reassigned benefits from 2 practitioners Practice locations: Springfield, MO |
| O20100930086654 | MO | DME Supplier - Physician - Optometrist | 9133197593 | Practice locations: Springfield, MO |
National Provider Directory
Locations
1724 W Kearney St
Ste 116
Springfield, MO 65803
Phone (417) 865-4448
1724 W Kearney St
Springfield, MO 65803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1724 W Kearney St Ste 116
Springfield, MO 65803-1692
Mailing address
1724 W Kearney St Ste 116
Springfield, MO 65803-1692
Phone (417) 865-4448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477593564 | Other | MO | INDIVIDUAL NPI FOR DR. CO |
| 311305031 | Medicaid | MO | |
| AF26850 | Other | MO | SPECTERA |
| TO2432 | Other | MO | LICENSE # |
| MO2432 | Other | MO | EYEMED VISION CARE |
| 157403 | Other | MO | BCBS OF MO |
| 502392707 | Medicaid | MO | |
| 4178654448 | Other | MO | VSP |
Other providers in Springfield, MO
- Adult Medicine of the Ozarks, LLC
- Adult Tendercare Inc
- Advanced Acupuncture & Chiropractic LLC
- Advanced Alternative Healthcare, LLC
- Advanced Dental Care of Chesterfield Inc
- Advanced Wound Therapy-Mo, LLC
- Advantage Hand Therapy & Orthopedic Rehabilitation
- Advent One
- Advocates for a Healthy Community
- Advocates for a Healthy Community
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.