Active NPI
Vernon Edward Falkenhain, O.D.
- Optometrist
- Rolla, MO
National Provider Identifier
1336320431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO2065
- Practice address
- 1001 N Pine St
Rolla, MO 65401-2824 - Phone
- (573) 364-1773
- Fax
- (573) 341-3945
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | TO2065 | MO | Primary |
Addresses
Primary practice location
1001 N Pine St
Rolla, MO 65401-2824
Mailing address
1001 N Pine St
PO Box 310
Rolla, MO 65401-2824
Phone (573) 364-1773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310208004 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1961
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1001 N Pine St
Rolla, MO 65401-2824
Phone (573) 364-1773
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2065 | MO | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Rolla, MO
- NPI 1720071335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1336320431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N PINE ST",
"address_2": "PO BOX 310",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012824",
"telephone_number": "573-364-1773",
"fax_number": "573-341-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N PINE ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012824",
"telephone_number": "573-364-1773",
"fax_number": "573-341-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALKENHAIN",
"first_name": "VERNON",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO2065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310208004",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.