Rouse Vision Clinic,LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROUSE VISION CLINIC,LLC

Practice address

1301 Cook St
Kennett, MO 63857-3259

Phone

(573) 888-2884

Fax

(573) 888-3799

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Debbey A Davis

Title

Office Manager

Phone

(573) 888-2884

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Douglas Rouse, OD

  • Optometrist
  • Kennett, MO
  • NPI 1023122017
  Medicare reassignment
• Heath Patrick Rolwing, OD

  • Optometrist
  • Charleston, MO
  • NPI 1851070122
  NPD
• Angela Carol Howell, O.D.

  • Optometrist
  • Jonesboro, AR
  • NPI 1932179942
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1437417847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638570807",
            "telephone_number": "573-888-2884",
            "fax_number": "573-888-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COOK ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573259",
            "telephone_number": "573-888-2884",
            "fax_number": "573-888-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSE VISION CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEBBEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-888-2884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314803701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Leann Rodgers
• Teresa Ann Rodriguez
• James Berry Rogers
• Chandra Roland
• Lisa A Rose, LPC
• Brandon Douglas Rouse, OD
• Marilyn Faye Rouse
• Zachary Shea Rousell
• Wilbert James Rowell
• Courtney Elyse Rushing

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.