Individual provider Active NPI

Shay Andrea Sechler, OD

  • Optometrist
  • Bolivar, MO
National Provider Identifier
1508393612
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2017019309 Issued in MO
Practice address
1111 E Cambridge St
Bolivar, MO 65613-3500
Phone
(417) 326-6001
NPI assigned
May 19, 2017
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2017019309 MO Primary

Addresses

Primary practice location

1111 E Cambridge St
Bolivar, MO 65613-3500

Mailing address

1111 E Cambridge St
Bolivar, MO 65613-3500
Phone (417) 567-0288

Other practice location 1

200 Battlefield St
Springfield, MO 65804
Phone (417) 886-1677

Other practice location 2

120 S Washington St
Nevada, MO 64772-3330
Phone (417) 667-2560

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
I20180521000419 MO Practitioner - Optometry 0749545861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 E Cambridge St
Bolivar, MO 65613-3500
Phone (816) 392-8663

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Eye Clinic LLC Optometrist CurrentSince Jun 28, 2024 Accepting new patients
Nevada Optometric Center, Inc. PastSince Apr 17, 2018 Accepting new patients

Locations

1111 E Cambridge St
Bolivar, MO 65613
Phone (417) 326-6001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1508393612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E CAMBRIDGE ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133500",
            "telephone_number": "417-567-0288",
            "fax_number": "417-567-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E CAMBRIDGE ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133500",
            "telephone_number": "417-326-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Battlefield St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65804",
            "country_code": "US",
            "telephone_number": "417-886-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723330",
            "country_code": "US",
            "telephone_number": "417-667-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECHLER",
        "first_name": "SHAY",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017019309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.