Active NPI
Mattax Neu Prater Eye Center, Inc.
- Eyewear Supplier
- Branson, MO
National Provider Identifier
1417052291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- MATTAX NEU PRATER EYE CENTER, INC.
- Practice address
- 168 S Payne Stewart Dr
Suite 200
Branson, MO 65616-2792 - Phone
- (417) 886-3937
- Fax
- (417) 886-1285
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James B. Mattax, MD
- Title
- President
- Phone
- (417) 886-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
168 S Payne Stewart Dr
Suite 200
Branson, MO 65616-2792
Mailing address
1265 E Primrose St
Springfield, MO 65804-4278
Phone (417) 886-3937
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1417052291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044278",
"telephone_number": "417-886-3937",
"fax_number": "417-886-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 S PAYNE STEWART DR",
"address_2": "SUITE 200",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162792",
"telephone_number": "417-886-3937",
"fax_number": "417-886-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTAX NEU PRATER EYE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "MATTAX",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "417-886-3937",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.