Missouri Eye and Vision Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03452 Issued in MO

Legal business name

MISSOURI EYE AND VISION ASSOCIATES, INC.

Doing business as

Camdenton Family Eyecare Associates
Wal-Mart Vision Center

Practice address

117 S Business Route 5
Camdenton, MO 65020-9589

Phone

(573) 346-5951

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Eveland, OD

Title

President

Phone

(573) 745-0419

Specialties & licenses 1

Addresses

Other names 2

• Camdenton Family Eyecare Associates Doing business as
• Wal-Mart Vision Center Doing business as

Locations

Practitioners 2

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

• Diana Meade Scoggin, OD

  • Optometrist
  • Camdenton, MO
  • NPI 1407842156
  NPD (past)
• Scott Edward Smalley, O.D.

  • Optometrist
  • Troy, MO
  • NPI 1174534879
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1508875790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650201887",
            "telephone_number": "573-346-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BUSINESS ROUTE 5",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650209589",
            "telephone_number": "573-346-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI EYE AND VISION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "EVELAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-745-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camdenton Family Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wal-Mart Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deepthi Maya
• Medical Missions for Christ
• Adrienne Jill Mellroy
• Mercy Hospital Springfield (Mercy Emergency Medical Services-Camden County)
• Robert Oliver Meyer, FNP
• N & R of Camdenton, Inc. (Camdenton Windsor Estates)
• Sharif Atef Naeim
• Fatima Naseer, MD
• James J.L. Neill, M.D.
• Shari Leuwerke Neill, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.