Organization Active NPI

Roberts Family Eyecare

  • Optometrist
  • Monett, MO
National Provider Identifier
1215028097
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROBERTS FAMILY EYECARE
Practice address
507 E Cleveland Ave
Monett, MO 65708-1750
Phone
(417) 235-5250
Fax
(417) 235-5259
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Heather M McGuire
Title
Billing
Phone
(417) 235-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

507 E Cleveland Ave
Monett, MO 65708-1750

Mailing address

PO Box 351
Monett, MO 65708-0351
Phone (417) 235-5250

Other practice location 1

104 S Hickory St
Mount Vernon, MO 65712-1407
Phone (417) 466-7620

Other practice location 2

24853 State Highway 39
Shell Knob, MO 65747
Phone (417) 858-6060

Other identifiers 1

IdentifierTypeStateIssuer
530163807MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100916000377 MO Part B Supplier - Clinic/Group Practice 3274658018 Receives reassigned benefits from 3 practitioners
Practice locations: Shell Knob, MO; Mount Vernon, MO; Monett, MO
O20100930018323 MO DME Supplier - Physician - Optometrist 3274658018 Practice locations: Monett, MO

National Provider Directory

National Provider Directory

Locations

507 E Cleveland Ave
Monett, MO 65708
Phone (417) 235-5250

Practitioners & affiliated clinicians

Practitioners 4

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1215028097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657080351",
            "telephone_number": "417-235-5250",
            "fax_number": "417-235-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E CLEVELAND AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081750",
            "telephone_number": "417-235-5250",
            "fax_number": "417-235-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Hickory St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "MO",
            "postal_code": "657121407",
            "country_code": "US",
            "telephone_number": "417-466-7620",
            "fax_number": "417-466-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24853 State Highway 39",
            "address_purpose": "LOCATION",
            "city": "Shell Knob",
            "state": "MO",
            "postal_code": "65747",
            "country_code": "US",
            "telephone_number": "417-858-6060",
            "fax_number": "417-235-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERTS FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "417-235-5250"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530163807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.