Visionhealth Eye Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

2006018212 Issued in MO

Legal business name

VISIONHEALTH EYE CENTER

Practice address

612 E Elm St
Republic, MO 65738-1552

Phone

(417) 732-5575

NPI assigned

Aug 30, 2006

Last updated

Feb 6, 2009By 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. Justin L Hart, O.D.NPI 1669491296

Title

Sole Member of LLC

Phone

(417) 732-5575

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Justin Lee Hart, O.D.

  • Optometrist
  • Republic, MO
  • NPI 1669491296
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1396854790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E ELM ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381552",
            "telephone_number": "417-732-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E ELM ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381552",
            "telephone_number": "417-732-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONHEALTH EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "417-732-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006018212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Toussaint
• Kyra Treible, OTR/L
• Vance Chiropractic Clinic, Inc
• Joshua Wayne Vance, D.C.
• Kari Lynne Vance, D.C.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1009)
• Wal-Mart Stores East, LP (Vision Center 30-1009)
• Walgreen Co (Walgreens #07901)
• Jessica Ann Walker, OTD, OTR-L
• Joseph D Ward II, MHS, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.