Organization Active NPI

Eye Surgeons of Springfield, Inc.

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1447472600
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE SURGEONS OF SPRINGFIELD, INC.
Practice address
1330 E Kingsley St
Springfield, MO 65804-7216
Phone
(417) 887-1965
Fax
(417) 887-6499
NPI assigned
May 3, 2007
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Mrs. Susan R Sales
Title
Business Manager
Phone
(417) 887-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1330 E Kingsley St
Springfield, MO 65804-7216

Mailing address

1330 E Kingsley St
Springfield, MO 65804-7216
Phone (417) 887-1965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100326000152 MO Part B Supplier - Clinic/Group Practice 2668508920 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, MO
O20100930039617 MO DME Supplier - Physician - Unknown Physician Specialty 2668508920 Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

1330 E Kingsley St
Springfield, MO 65804
Phone (417) 882-1965

3800 S National Ave
Ste 500
Springfield, MO 65807
Phone (417) 887-1965

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1447472600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E KINGSLEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-887-1965",
            "fax_number": "417-887-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E KINGSLEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047216",
            "telephone_number": "417-887-1965",
            "fax_number": "417-887-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGEONS OF SPRINGFIELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "417-887-1965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.