Norman Professional Eyecare and Contact Lens Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03491 Issued in MO

Legal business name

NORMAN PROFESSIONAL EYECARE AND CONTACT LENS CLINIC LLC

Practice address

21 Doctors Park
Suite B
Cape Girardeau, MO 63703-4927

Phone

(573) 803-2211

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian Norman, ODNPI 1558425389

Title

Owner/President

Phone

(573) 803-2211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Brian K Norman, O.D.

  • Optometrist
  • Cape Girardeau, MO
  • NPI 1558425389
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1235493164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DOCTORS PARK",
            "address_2": "SUITE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-803-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DOCTORS PARK",
            "address_2": "SUITE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-803-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN PROFESSIONAL EYECARE AND CONTACT LENS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "573-803-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235493164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noffel-Feuerhahn, DDD, Center for Orthodontics PC
• Shawie Edwin Noffel
• Marlisa Lynn Nolan, OTRL, CHT, CLT
• Gabrielle Noland
• Emily Nolen, MA
• Brian K Norman, O.D.
• Sara Elizabeth Nowicki, D.O.
• Sivagamy Nyanzi, DNP, FNP-BC
• Isaac Nzuki, BACB
• Jerimy Obergoenner, PTA

• Optometrist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.