Individual provider Active NPI

Anne C Ream, OPTOMETRIS

  • Optometrist
  • West Plains, MO
National Provider Identifier
1194705541
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2589 Issued in MO
Practice address
760 N Kentucky St
West Plains, MO 65775-2013
Phone
(417) 256-6171
Fax
(417) 256-8525
NPI assigned
Jan 20, 2006
Last updated
Aug 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2589 MO Primary

Addresses

Primary practice location

760 N Kentucky St
West Plains, MO 65775-2013

Mailing address

760 N Kentucky St
West Plains, MO 65775-2013
Phone (417) 256-6171

Other identifiers 1

IdentifierTypeStateIssuer
313562522MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001555 MO Practitioner - Optometry 1951207620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne C Ream Optometry PCGroup PAC ID 1850397662, 2 clinicians

Practice addresses (Care Compare)

760 Kentucky St
West Plains, MO 65775-2013
Phone (417) 256-6171

760 N Kentucky Ave
West Plains, MO 65775-2013

760 N Kentucky St
West Plains, MO 65775-2013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO2589MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne C. Ream Optometry, PC Optometrist CurrentSince Feb 1, 1987 Accepting new patients
Curators of the University of Missouri PastSince Apr 30, 2003 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

760 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-6171

760 N Kentucky Ave
#L
West Plains, MO 65775

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1194705541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 N KENTUCKY ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752013",
            "telephone_number": "417-256-6171",
            "fax_number": "417-256-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N KENTUCKY ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752013",
            "telephone_number": "417-256-6171",
            "fax_number": "417-256-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAM",
        "first_name": "ANNE",
        "middle_name": "C",
        "credential": "OPTOMETRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313562522",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.