James Trey Upton

Primary specialty

OptometristTaxonomy code 152W00000X

License

2024017966 Issued in MO

Practice address

3440 S National Ave
Springfield, MO 65807-7307

Phone

(417) 886-5444

Fax

(417) 725-0502

NPI assigned

Jul 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Clinic PCGroup PAC ID 2668404161, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tupton@cherokeevillage.emadirect.md

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.

• Vision Clinic PC

  • Optometrist
  • Springfield, MO
  • NPI 1316963564
  Medicare reassignment Care Compare group NPD
• Vision Clinic PC

  • Optometrist
  • Ozark, MO
  • NPI 1699020834
  NPD
• Progressive Eye Center & Boutique

  • Optometrist
  • North Little Rock, AR
  • NPI 1689932915
  NPD (past)
• Progressive Eye Center of Piggott LLC

  • Optometrist
  • Piggott, AR
  • NPI 1396053021
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1356074090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 S NATIONAL AVE # 2020",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077307",
            "telephone_number": "417-725-0500",
            "fax_number": "417-725-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077307",
            "telephone_number": "417-886-5444",
            "fax_number": "417-725-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 W Olive St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061307",
            "country_code": "US",
            "telephone_number": "417-862-3937",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 State Highway 248 Ste A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656168004",
            "country_code": "US",
            "telephone_number": "417-334-0044",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 N McCroskey St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149313",
            "country_code": "US",
            "telephone_number": "417-725-0500",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657217634",
            "country_code": "US",
            "telephone_number": "417-582-2020",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPTON",
        "first_name": "JAMES",
        "middle_name": "TREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2856",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024017966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Seating and Mobility LLC
• Unity Home Health Services
• Anita Gopal Unnithan, M.D.
• Lacey Uphaus, FNP
• Brian John Upton
• Urban Eye Care
• Stephanie Urich, RDN
• US Medical Center for Federal Prisoners
• Shawn Newton Usery, MD
• Melissa Lynne Ussery, PSY.D.

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.

Verify at the official NPI Registry.