Organization Active NPI

B &B Eyecare, LLC

Doing business as Family Eyecare Associates

  • Optometrist
  • Lake Ozark, MO
National Provider Identifier
1255414918
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03452 Issued in MO
Legal business name
B &B EYECARE, LLC
Doing business as
Family Eyecare Associates
Practice address
3251 Bagnell Dam Blvd
Lake Ozark, MO 65049-9745
Phone
(573) 365-3717
Fax
(573) 365-4485
NPI assigned
Oct 23, 2006
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Brian Ross Eveland, ODNPI 1265449920
Title
Co-Owner
Phone
(573) 365-3717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T03452 MO Primary

Addresses

Primary practice location

3251 Bagnell Dam Blvd
Lake Ozark, MO 65049-9745

Mailing address

PO Box 2347
Lake Ozark, MO 65049-2347
Phone (573) 365-3717

Other names 1

  • Family Eyecare Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1255414918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2347",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650492347",
            "telephone_number": "573-365-3717",
            "fax_number": "573-365-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 BAGNELL DAM BLVD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499745",
            "telephone_number": "573-365-3717",
            "fax_number": "573-365-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B &B EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "EVELAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "573-365-3717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.