NPIMap

Organization Active NPI

Urban Eye Care

  • Optometrist
  • Springfield, MO
National Provider Identifier
1326328931
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006036228 Issued in MO
Legal business name
URBAN EYE CARE
Practice address
213 W Olive St
101
Springfield, MO 65806-1301
Phone
(417) 862-3937
Fax
(417) 862-3936
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Matthew K Scullawl, OD
Title
Owner
Phone
(417) 862-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2006036228 MO Primary

Addresses

Primary practice location

213 W Olive St
101
Springfield, MO 65806-1301

Mailing address

213 W Olive St
101
Springfield, MO 65806-1301
Phone (417) 862-3937

Other names 1

  • Vision Clinic Downtown Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1326328931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W OLIVE ST",
            "address_2": "101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061301",
            "telephone_number": "417-862-3937",
            "fax_number": "417-862-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W OLIVE ST",
            "address_2": "101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061301",
            "telephone_number": "417-862-3937",
            "fax_number": "417-862-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SCULLAWL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-862-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006036228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Clinic Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.