Active NPI
Special Care Vision of Missouri, LLC
- Optometrist
- Chillicothe, MO
National Provider Identifier
1366867491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02343
- Legal business name
- SPECIAL CARE VISION OF MISSOURI, LLC
- Practice address
- 1115 Washington St
Chillicothe, MO 64601-1306 - Phone
- (502) 244-2457
- NPI assigned
- Feb 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Velten, CPC
- Title
- Director of Billing
- Phone
- (502) 244-2457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02343 | MO | Primary |
Addresses
Primary practice location
1115 Washington St
Chillicothe, MO 64601-1306
Mailing address
12910 Shelbyville Rd
300
Louisville, KY 40243-1593
Phone (502) 244-2457
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393891200000",
"number": "1366867491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 SHELBYVILLE RD",
"address_2": "300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431593",
"telephone_number": "502-244-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 WASHINGTON ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646011306",
"telephone_number": "502-244-2457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL CARE VISION OF MISSOURI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-26",
"last_updated": "2014-03-04",
"status": "A",
"authorized_official_last_name": "VELTEN",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "502-244-2457",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T02343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.