Individual provider Active NPI

Darren A Plank, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1396726865
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03170 Issued in MO
Practice address
3440 S National Ave
Springfield, MO 65807-7307
Phone
(417) 886-5444
Fax
(417) 886-6444
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03170 MO Primary

Addresses

Primary practice location

3440 S National Ave
Springfield, MO 65807-7307

Mailing address

804 W Blackberry LN
Nixa, MO 65714-8416

Other identifiers 1

IdentifierTypeStateIssuer
317720613MedicaidMO

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
I20110124000898 MO Practitioner - Optometry 5698954642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1994
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

413 N McCroskey St
Suite 1
Nixa, MO 65714-9313
Phone (417) 725-0500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinic PC Optometrist CurrentSince Aug 11, 1994 Accepting new patients

Locations

413 N McCroskey St
Nixa, MO 65714
Phone (417) 725-0500

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: darrenplank@vision-clinic-springfield.direct.kno2fy.com
  • Direct secure messaging: darren.plank@direct.revolutionehr.com

Organizations & group practices 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1396726865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W BLACKBERRY LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148416"
        },
        {
            "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": "417-886-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANK",
        "first_name": "DARREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317720613",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.