Organization Active NPI

Precision Eye Care, Inc.

  • Ophthalmology Physician
  • Farmington, MO
National Provider Identifier
1366470957
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PRECISION EYE CARE, INC.
Practice address
140 Westmount Dr
Farmington, MO 63640-2970
Phone
(573) 756-2020
Fax
(573) 756-6997
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
John R Fitz, MDNPI 1306815972
Title
Physician/Owner
Phone
(573) 756-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MO Primary

Addresses

Primary practice location

140 Westmount Dr
Farmington, MO 63640-2970

Mailing address

140 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-2020

Other identifiers 1

IdentifierTypeStateIssuer
500247002MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005000180 MO Part B Supplier - Clinic/Group Practice 4486689882 Receives reassigned benefits from 5 practitioners
Practice locations: Farmington, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2058895Precision Eye Care Inc140 Westmount Drive, Farmington, MO 63640Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

140 Westmount Dr
Farmington, MO 63640
Phone (573) 756-2020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1366470957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-2020",
            "fax_number": "573-756-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-2020",
            "fax_number": "573-756-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "FITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "573-756-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500247002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.