Active NPI
Om Vision Services Inc,
Doing business as Pearle Vision
- Clinic/Center
- Columbia, MO
National Provider Identifier
1316318280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- OM VISION SERVICES INC,
- Doing business as
- Pearle Vision
- Practice address
- 2300 Bernadette Dr
Columbia, MO 65203-4607 - Phone
- (417) 881-5530
- NPI assigned
- Oct 16, 2015
- Last updated
- May 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Leann Cross
- Title
- Reg Manager
- Phone
- (417) 881-5530
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Optician | 156FX1800X | 17822 | CA |
Addresses
Primary practice location
2300 Bernadette Dr
Columbia, MO 65203-4607
Mailing address
2300 Bernadette Dr
Columbia, MO 65203-4607
Phone (417) 881-5530
Other names 1
- Pearle Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Pearle Vision Express
- Clinic/Center
- Springfield, MO
- NPI 1528273927
O20120824000334
National Provider Directory
National Provider Directory- Tax ID family
- Om Vision Services Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2300 Columbia Mall
Columbia, MO 65203
Phone (417) 881-5530
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Springfield, MO
- NPI 1598884884
-
- Optometrist
- Burlington, IA
- NPI 1417399890
-
- Optometrist
- Springfield, MO
- NPI 1831219260
-
- Optometrist
- Springfield, MO
- NPI 1962143180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622073600000",
"number": "1316318280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 BERNADETTE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034607",
"telephone_number": "417-881-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 BERNADETTE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034607",
"telephone_number": "417-881-5530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OM VISION SERVICES INC,",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-16",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "LEANN",
"authorized_official_title_or_position": "REG MANAGER",
"authorized_official_telephone_number": "417-881-5530"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "17822",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pearle Vision",
"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 May 27, 2021; 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.