Coleman Optometry PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2322 Issued in MO

Legal business name

COLEMAN OPTOMETRY PC

Doing business as

Coleman Vision

Practice address

1030 SE Murphy Blvd
Joplin, MO 64801-5043

Phone

(417) 782-3488

Fax

(417) 782-8150

NPI assigned

Jan 22, 2014

Last updated

Jan 22, 2014By 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

Dr. David R Coleman, OD

Title

President/Treasurer

Phone

(417) 782-3488

Specialties & licenses 7

Addresses

Other names 1

• Coleman Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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.

• Jeffrey David Coleman, O.D.

  • Optometrist
  • Joplin, MO
  • NPI 1750512463
  Medicare reassignment NPD

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1164845418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SE MURPHY BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015043",
            "telephone_number": "417-782-3488",
            "fax_number": "417-782-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SE MURPHY BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015043",
            "telephone_number": "417-782-3488",
            "fax_number": "417-782-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "417-782-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2322",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "TO2322",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "TO2322",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "TO2322",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MO",
            "license": "TO2322",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "TO2322",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MO",
            "license": "TO2322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan S Cody
• Tyler Coffey
• Nicholas Allen Cohee
• Amykay Cole, P.H.D.
• Chrystal D Cole, PLPC
• Abigail Coleman
• Jeffrey David Coleman, O.D.
• John Coleman, MD
• Shannon Coles, NP
• College Heights Christian Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.