Huntress Visionhealth Associates LLC
Organization Active NPI Optometrist · Monett, MO
NPI 1386887388 · NPPES record last updated Apr 21, 2017
Key facts
- NPI
- 1386887388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- TO2905 (MO)
- Legal business name
- HUNTRESS VISIONHEALTH ASSOCIATES LLC
- Practice address
- 215 4TH St
Monett, MO 65708-2314 - Phone
- (417) 235-2020
- Fax
- (417) 235-5508
- NPI assigned
- Apr 7, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kristina Kae Hearn
- Title
- Administrative Assistant
- Phone
- (417) 235-2020
Practitioners 6
-
Justin Lee Hart, O.D.
-
Scott Alan McSpadden, O.D.
-
Mason Wilcox, OD
-
Larry F Pratt, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Visionhealth Eye Center |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100116000211 | MO | Part B Supplier - Clinic/Group Practice | 4587706304 |
Receives reassigned benefits from 5 practitioners Practice locations: Republic, MO; Greenfield, MO; Monett, MO |
| O20100930082376 | MO | DME Supplier - Physician - Optometrist | 4587706304 | Practice locations: Monett, MO |
National Provider Directory
Locations
970 N Oakwood Ave
Republic, MO 65738
Phone (417) 732-5575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | TO2905 | MO | Yes |
Addresses
Primary practice location
215 4TH St
Monett, MO 65708-2314
Mailing address
P.O. Box 460
215 4TH St
Monett, MO 65708-2314
Phone (417) 235-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328474101 | Medicaid | MO | |
| 310574918 | Medicaid | MO | |
| 311429906 | Medicaid | MO | |
| 312853807 | Medicaid | MO |
Other names
- Visionhealth Eye Center, LLC
Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2017. 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.
- 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.