Eye Care Specialists, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CARE SPECIALISTS, LLC

Practice address

360 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920

Phone

(573) 335-3577

Fax

(573) 335-1559

NPI assigned

Mar 15, 2007

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie R Kasten

Title

Ceo, Exec VP

Phone

(573) 339-9731

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL, 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.

CLIA laboratory certificates

Locations

Practitioners 11

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.

• John Reck Kinder, M.D.

  • Ophthalmology Physician
  • Cape Girardeau, MO
  • NPI 1487650685
  Medicare reassignment Care Compare group
• Todd James Lumsden, D.O.

  • Ophthalmology Physician
  • Cape Girardeau, MO
  • NPI 1689670887

  IL

  Medicare reassignment Care Compare group
• Tatyana Igorevna Metelitsina, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Cape Girardeau, MO
  • NPI 1033365663

  IL

  Medicare reassignment Care Compare group
• Derrall Shawn Parker, M.D.

  • Ophthalmology Physician
  • Cape Girardeau, MO
  • NPI 1700850500

  IL

  Medicare reassignment Care Compare group
• Bradley J Stuckenschneider, M.D.

  • Ophthalmology Physician
  • Poplar Bluff, MO
  • NPI 1679607030
  Medicare reassignment Care Compare group
• David John Westrich, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Cape Girardeau, MO
  • NPI 1114051661

  IL

  Medicare reassignment Care Compare group
• Thomas K Krummenacher, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1205837978
  Medicare reassignment
• Byron A Santos-Flores, M.D.

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1740307354
  Medicare reassignment
• Marc Alan Booth, MD

  • Ophthalmology Physician
  • Michigan City, IN
  • NPI 1275515710
  NPD (past)
• Deborah White Greimel, M.D.

  • Internal Medicine Physician
  • Laurinburg, NC
  • NPI 1215029095
  NPD (past)
• Mark C Montag, MD

  • Ophthalmology Physician
  • Bristol, PA
  • NPI 1043227358
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1316071780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-335-3577",
            "fax_number": "573-335-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-335-3577",
            "fax_number": "573-335-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "KASTEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO, EXEC VP",
        "authorized_official_telephone_number": "573-339-9731",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507335701",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CI5677",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CI5679",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CI5676",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie L Evans-Hedge, NP-C
• Deborah A Evans, APRN,BC, FNP
• Jessica Renee Evans, LCSW
• Laura R. Evans, O.D.
• Extra Hands Incorporated
• Eye Consultants Incorporated
• F Stan Williams DDS LLC
• Anthony Jerome Faber, PHD
• Ayotunde B Fadayomi, MD
• Tolulope Oyebola Fadayomi, MD

• Ophthalmology Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.