Individual provider Active NPI

Kevin Rice, OD

  • Optometrist
  • Springfield, MO
National Provider Identifier
1366971426
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
431667367 Issued in MO
Practice address
3440 S National Ave
Springfield, MO 65807-7307
Phone
(417) 886-5444
Fax
(417) 725-0502
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 431667367 MO Primary

Addresses

Primary practice location

3440 S National Ave
Springfield, MO 65807-7307

Mailing address

3440 S National Ave
Springfield, MO 65807-7307
Phone (417) 886-5444

Other practice location 1

6005 N 21st St
Ozark, MO 65721-7634
Phone (417) 582-2020

Other practice location 2

413 N McCroskey St Ste 1
Nixa, MO 65714-9313
Phone (417) 725-0500 ext. 354

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170817001098 MO Practitioner - Optometry 6901178557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
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)

3440 S National Ave
Springfield, MO 65807-7307
Phone (417) 886-5444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinic PC Optometrist CurrentSince Aug 1, 2017 Accepting new patients
Vision Clinic PC Optometrist CurrentSince Aug 1, 2017 Accepting new patients

Locations

413 N McCroskey St
Ste 1
Nixa, MO 65714
Phone 4177250500 ext. 354

6005 N 21st St
Ozark, MO 65721
Phone (417) 582-2020

1650 S Enterprise Ave
Ste A100
Springfield, MO 65804
Phone (417) 889-7788

3440 S National Ave
Springfield, MO 65807
Phone (417) 886-5444

Interoperability endpoints

  • Direct secure messaging: kevin.rice@direct.revolutionehr.com
  • Direct secure messaging: kevinrice@vision-clinic-springfield.direct.kno2fy.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366971426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "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"
        },
        {
            "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 x354",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "KEVIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "431667367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.