NPIMap

Organization Active NPI

Eyewear Express of Missouri, LLC

  • Point of Service
  • Waynesville, MO
National Provider Identifier
1174947998
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
21892466 Issued in MO
Legal business name
EYEWEAR EXPRESS OF MISSOURI, LLC
Practice address
320 Ichord Ave
Suite H
Waynesville, MO 65583-3600
Phone
(573) 774-5004
Fax
(573) 774-5004
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Christopher R McCartyNPI 1548684574
Title
Owner
Phone
(573) 774-5004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 21892466 MO Primary

Addresses

Primary practice location

320 Ichord Ave
Suite H
Waynesville, MO 65583-3600

Mailing address

320 Ichord Ave
Suite H
Waynesville, MO 65583-3600
Phone (573) 774-5004

National Provider Directory

National Provider Directory

Locations

320 Ichord Ave
Ste H
Waynesville, MO 65583
Phone (573) 774-5004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1174947998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ICHORD AVE",
            "address_2": "SUITE H",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833600",
            "telephone_number": "573-774-5004",
            "fax_number": "573-774-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ICHORD AVE",
            "address_2": "SUITE H",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655833600",
            "telephone_number": "573-774-5004",
            "fax_number": "573-774-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR EXPRESS OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-774-5004"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "21892466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.