Active NPI
Robert Michael Foss, O.D.
- Optometrist
- Springfield, MO
National Provider Identifier
1336252170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO2313
- Practice address
- 3315 S Campbell Ave
Walmart Vision Center
Springfield, MO 65807-4914 - Phone
- (417) 887-1914
- Fax
- (417) 887-1672
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TO2313 | MO | Primary |
Addresses
Primary practice location
3315 S Campbell Ave
Walmart Vision Center
Springfield, MO 65807-4914
Mailing address
3 Primrose LN
Kimberling City, MO 65686-9687
Phone (417) 230-7351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2313 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336252170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PRIMROSE LN",
"city": "KIMBERLING CITY",
"state": "MO",
"postal_code": "656869687",
"telephone_number": "417-230-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 S CAMPBELL AVE",
"address_2": "WALMART VISION CENTER",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074914",
"telephone_number": "417-887-1914",
"fax_number": "417-887-1672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO2313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.