417 Eyes a Series LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03007 Issued in MO

Legal business name

417 EYES A SERIES LLC

Doing business as

Marshfield Family Eye Care

Practice address

1100 Spur Dr
Suite 220
Marshfield, MO 65706-2261

Phone

(417) 859-2010

Fax

(417) 859-2038

NPI assigned

Feb 23, 2015

Last updated

Jan 16, 2025By 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

Dr. Daniel E. Boone, O.D.NPI 1679521603

Title

Owner/ Optometrist

Phone

(417) 859-2010

Specialties & licenses 1

Addresses

Other names 1

• Marshfield Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 5

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.

• Daniel E Boone, O.D.

  • Optometrist
  • Nixa, MO
  • NPI 1679521603
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Austin Boone, OD

  • Optometrist
  • Nixa, MO
  • NPI 1609434604
  Medicare reassignment Care Compare group NPD
• Donna Lea Currier, OD

  • Optometrist
  • Fort Leonard Wood, MO
  • NPI 1982782306
  NPD (past)
• William Grant III, O.D.

  • Optometrist
  • Lebanon, MO
  • NPI 1144378480
  NPD (past)
• Matthew Vanover, OD

  • Optometrist
  • Springfield, MO
  • NPI 1114082633
  NPD (past)

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1386036721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SPUR DR",
            "address_2": "SUITE 220",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062261",
            "telephone_number": "417-859-2010",
            "fax_number": "417-859-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SPUR DR",
            "address_2": "SUITE 220",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062261",
            "telephone_number": "417-859-2010",
            "fax_number": "417-859-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "417 EYES A SERIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "417-859-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advocates for a Healthy Community Inc (Jordan Valley Community Health Center)
• Advocates for a Healthy Community, Inc (Jordan Valley Community Health Center)
• Jennifer Lynne Aldridge, FNP
• Breanna Alexander, BSN, RN
• Julie Ann Anderson

• Optometrist in Marshfield, MO
• Providers in Marshfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.