Shawn M Yarnell, O.D,

Individual provider Active NPI Optometrist · Buffalo, MO

NPI 1194037366 · NPPES record last updated Jul 5, 2010

Key facts

NPI
1194037366
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
2010020776 (MO)
Practice address
112 W Commercial St
Buffalo, MO 65622-7614
Phone
(417) 345-2901
Fax
(417) 345-2904
NPI assigned
Jul 5, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kramer and Newcomb OD, PC (3 clinicians)

Practice addresses (Care Compare)

112 W Commercial St
Buffalo, MO 65622-7614
Phone (417) 345-2901

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101102001549 MO Practitioner - Optometry 5193919280 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2010020776MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer & Newcomb OD, PC Optometrist Current
since Oct 26, 2010
Accepting new patients

Locations

1350 Spur Dr
Ste 150
Marshfield, MO 65706
Phone (417) 468-6682

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2010020776 MO Yes

Addresses

Primary practice location

112 W Commercial St
Buffalo, MO 65622-7614

Mailing address

PO Box 80
Buffalo, MO 65622-0080
Phone (417) 345-2901

Other providers in Buffalo, MO

All providers in Buffalo, MO · Optometrist in Missouri

Sources for this page

Verify at the official NPI Registry.