NPIMap

Organization Active NPI

Sloan Eyecare Center L.L.C

Doing business as Premier EyeCare Associates

  • Optometrist
  • Carrollton, MO
National Provider Identifier
1578733648
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 L.L.C
Doing business as
Premier EyeCare Associates
Practice address
1405 N Jefferson
Carroll County Jefferson Medical Pavillion
Carrollton, MO 64633
Phone
(660) 542-1333
NPI assigned
Mar 5, 2008
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
Dr. Duane Thompson, O.D.NPI 1740224724
Title
Owner/Managing 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
Optometrist 152W00000X Primary

Addresses

Primary practice location

1405 N Jefferson
Carroll County Jefferson Medical Pavillion
Carrollton, MO 64633

Mailing address

1405 N Jefferson
Carroll County Jefferson Medical Pavillion
Carrollton, MO 64633
Phone (660) 542-1333

Other identifiers 1

IdentifierTypeStateIssuer
1568519643MedicaidMO

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
This NPI is an additional NPI on the enrollment
Practice locations: Carrollton, MO; Chillicothe, MO; Trenton, MO
O20100930006503 MO DME Supplier - Physician - Optometrist 6103891825 Practice locations: Carrollton, 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 Associates1405 N Jefferson St, Carrollton, MO 64633-1945(660) 542-1333 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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1578733648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N JEFFERSON",
            "address_2": "CARROLL COUNTY JEFFERSON MEDICAL PAVILLION",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "64633",
            "telephone_number": "660-542-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N JEFFERSON",
            "address_2": "CARROLL COUNTY JEFFERSON MEDICAL PAVILLION",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "64633",
            "telephone_number": "660-542-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOAN EYECARE CENTER L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "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/MANAGING MEMBER",
        "authorized_official_telephone_number": "660-646-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568519643",
            "state": "MO"
        }
    ],
    "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 Carrollton, 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.