Osage Beach Family Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03438 Issued in MO

Legal business name

OSAGE BEACH FAMILY EYECARE INC.

Practice address

5962 Highway 54
Osage Beach, MO 65065-3338

Phone

(573) 552-8569

NPI assigned

Jan 19, 2010

Last updated

Sep 19, 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

Dr. Brian R. Eveland, O.D.

Title

President

Phone

(573) 552-8569

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1316278013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 HIGHWAY 54",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653338",
            "telephone_number": "573-552-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 HIGHWAY 54",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653338",
            "telephone_number": "573-552-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE BEACH FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "EVELAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-552-8569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03438",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T03438",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T03438",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "T03438",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NU",
            "license": "T03438",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": "T03438",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MO",
            "license": "T03438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Therapy Solutions, LLC
• Oluwakunle Olalekan Oluwatosin, MD
• Patrick W. Oneil, D.O.
• Onsite Rehabilitation, PC
• Osage Beach Center for Behavioral Health, LLC (Osage Beach Center for Behavioral Health)
• Osage Eye Clinic PC
• Osage Family Clinic, LLC
• Osage Valley Plastic Surgery PC
• Kelan Lane Osborn
• Carla Beth Ostronic, P.A.

• Optometrist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.