Organization Active NPI

Restoration Eyecare LLC

Doing business as Restoration Eye Care

  • Ophthalmology Physician
  • Columbia, MO
National Provider Identifier
1255227369
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RESTORATION EYECARE LLC
Doing business as
Restoration Eye Care
Practice address
1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583
Phone
(573) 441-7070
Fax
(573) 441-2288
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Ms. Stephanie Lea Kirby, BSN RN CASC
Title
Administrator
Phone
(573) 441-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583

Mailing address

1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583
Phone (573) 441-7070

Other names 1

  • Restoration Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251110003678 MO Part B Supplier - Clinic/Group Practice 8325538077 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

1410 Forum Katy Pkwy
Ste 100
Columbia, MO 65203
Phone (573) 441-7070

Practitioners & affiliated clinicians

Practitioners 2

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": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1255227369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036583",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036583",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-441-7070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN RN CASC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.