Individual provider Active NPI

Stephen R Rice, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1558342808
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02730 Issued in MO
Practice address
3440 S National Ave
Springfield, MO 65807-7307
Phone
(417) 886-5444
Fax
(417) 725-0502
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02730 MO Primary

Addresses

Primary practice location

3440 S National Ave
Springfield, MO 65807-7307

Mailing address

4476 E Farm Road 166
Springfield, MO 65809-4232

Other identifiers 1

IdentifierTypeStateIssuer
312467913MedicaidMO

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
I20110124000862 MO Practitioner - Optometry 0143336693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Clinic PC Optometrist CurrentSince Aug 11, 1994 Accepting new patients
Vision Clinic PC Optometrist CurrentSince Jan 1, 1988 Accepting new patients

Locations

915 State Highway 248
Ste A
Branson, MO 65616
Phone (417) 334-0044

413 N McCroskey St
Nixa, MO 65714
Phone (417) 725-0500

6005 N 21st St
Ozark, MO 65721
Phone (417) 582-2020

213 W Olive St
Ste 101
Springfield, MO 65806
Phone (417) 862-3937

3440 S National Ave
Springfield, MO 65807
Phone (417) 886-5444

Interoperability endpoints

  • Direct secure messaging: stephen.rice@direct.revolutionehr.com
  • Direct secure messaging: steverice@vision-clinic-springfield.direct.kno2fy.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1558342808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 E FARM ROAD 166",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658094232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077307",
            "telephone_number": "417-886-5444",
            "fax_number": "417-725-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312467913",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.