NPIMap

Organization Active NPI

Sloan Eyecare Center LLC

Doing business as Premier EyeCare Associates

  • Optometrist
  • Chillicothe, MO
National Provider Identifier
1568519643
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SLOAN EYECARE CENTER LLC
Doing business as
Premier EyeCare Associates
Practice address
1115 Washington St
Chillicothe, MO 64601-1306
Phone
(660) 646-3937
Fax
(660) 646-4092
NPI assigned
Jan 4, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Duane Thompson, O,D.NPI 1740224724
Title
Owner-Mananging Member
Phone
(660) 646-3937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1115 Washington St
Chillicothe, MO 64601-1306

Mailing address

1115 Washington St
P.O. Box 903
Chillicothe, MO 64601-1306
Phone (660) 646-3937

Other names 1

  • Premier EyeCare Associates Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040826001342 MO Part B Supplier - Clinic/Group Practice 6103891825 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
Practice locations: Carrollton, MO; Chillicothe, MO; Trenton, MO
O20100930062808 MO DME Supplier - Physician - OptometristDME Supplier - Optician 6103891825 Practice locations: Chillicothe, MO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Premier Eyecare Associates1115 Washington St, Chillicothe, MO 64601-1306(660) 646-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Sloan Eyecare Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

431 S Main St
Brookfield, MO 64628
Phone (660) 258-7409

431 S Main St
#465
Brookfield, MO 64628

1115 Washington St
Chillicothe, MO 64601
Phone (660) 258-7409

Practitioners & affiliated clinicians

Practitioners 10

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1568519643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WASHINGTON ST",
            "address_2": "P.O. BOX 903",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011306",
            "telephone_number": "660-646-3937",
            "fax_number": "660-646-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011306",
            "telephone_number": "660-646-3937",
            "fax_number": "660-646-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOAN EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER-MANANGING MEMBER",
        "authorized_official_telephone_number": "660-646-3937",
        "authorized_official_credential": "O,D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier EyeCare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier EyeCare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.