Steven B Bartholomew, OD
Individual provider Active NPI Optometrist · Branson, MO
NPI 1366487548 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1366487548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2005011625 (MO)
- Practice address
- 915 Hwy 248
Suite a
Branson, MO 65616-8003 - Phone
- (417) 334-0044
- Fax
- (417) 334-0046
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18401 State Hwy 13
Branson West, MO 65737-7785
Phone (417) 272-0169
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616000085 | MO | Practitioner - Optometry | 0941243224 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005011625 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zona Rosa Eyecare Inc | Optometrist | Current |
Accepting new patients |
| Steven Bartholomew OD LLC | Optometrist | Current |
Accepting new patients |
| Eyecare Associates of Parsons, LLC | Optometrist | Past | Accepting new patients |
| Professional Eyecare - Fountains Inc | Optometrist | Past | Accepting new patients |
| Heartland Vision Center PA | Optometrist | Past |
Accepting new patients |
Locations
6575 W 119th St
Overland Park, KS 66209
Phone (913) 696-0092
2451 S Springfield Ave
Bolivar, MO 65613
Phone (417) 326-5225
8403 N Mercier St
Kansas City, MO 64155
Phone (816) 468-1220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2005011625 | MO | Yes |
Addresses
Primary practice location
915 Hwy 248
Suite a
Branson, MO 65616-8003
Mailing address
915 Hwy 248
Suite a
Branson, MO 65616-8003
Phone (417) 334-0044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317333508 | Medicaid | MO | |
| P00226009 | Other | RAILROAD MEDICARE | |
| 431560263083 | Other | TRICARE |
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.