R.G.Palmer O.D,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2059 Issued in MO

Legal business name

R.G.PALMER O.D,P.C.

Practice address

323 Monroe St
Jefferson City, MO 65101-3105

Phone

(573) 635-1313

Fax

(573) 634-8500

NPI assigned

Nov 26, 2008

Last updated

Nov 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell G. Palmer, OD

Title

Optometrist

Phone

(573) 635-1313

Specialties & licenses 1

Addresses

Tax ID family

Eyes on Missouri2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paige Hedgpath O.D,P.C.

  dba Eyes On Missouri

  • Optometrist
  • Jefferson City, MO
  • NPI 1376601484
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Paige Hedgpath, O.D.

  • Optometrist
  • Jefferson City, MO
  • NPI 1669441630
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1366697781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MONROE ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013105",
            "telephone_number": "573-635-1313",
            "fax_number": "573-634-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MONROE ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013105",
            "telephone_number": "573-635-1313",
            "fax_number": "573-634-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.G.PALMER O.D,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "573-635-1313",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Craig Pryor
• Maureen Purdy, RN
• Pyramid Home Health Services- Jefferson City, Inc (Elara Caring)
• Pyramid Pharmacy, LLC (Pyramid Pharmacy)
• R D Obermeier Hearing Services L.L.C. (Miracle Ear)
• Amanda Rackers, PHARMD
• Denise Rackers
• Elizabeth Reyes Rackers, OTR/L
• Susan Rademan, PT
• Katharine Elizabeth Rae I, LPC

• Optometrist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.