Organization Active NPI

Low Vision Specialists

  • Low Vision Rehabilitation Optometrist
  • Springfield, MO
National Provider Identifier
1558189084
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
LOW VISION SPECIALISTS
Practice address
4145 S McCann CT Ste D
Springfield, MO 65804-7232
Phone
(417) 598-0168
Fax
(417) 719-7955
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Debra Williams, ODNPI 1215931886
Title
Owner
Phone
(417) 598-0168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X Primary
Low Vision Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224ZL0004X

Addresses

Primary practice location

4145 S McCann CT Ste D
Springfield, MO 65804-7232

Mailing address

4145 S McCann CT Ste D
Springfield, MO 65804-7232
Phone (417) 598-0168

National Provider Directory

National Provider Directory

Locations

4145 S McCann Ct
Ste D
Springfield, MO 65804
Phone (417) 598-0168

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1558189084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 S MCCANN CT STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047232",
            "telephone_number": "417-598-0168",
            "fax_number": "417-719-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 S MCCANN CT STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047232",
            "telephone_number": "417-598-0168",
            "fax_number": "417-719-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW VISION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-598-0168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224ZL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 2, 2024; 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.