NPIMap

Organization Active NPI

Bootheel Eye Care

  • Optometrist
  • Caruthersville, MO
National Provider Identifier
1609933902
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001018642 Issued in MO
Legal business name
BOOTHEEL EYE CARE
Practice address
400 Ward Ave
Caruthersville, MO 63830-1451
Phone
(573) 333-3937
Fax
(573) 333-3938
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Allison Lee Whitener, ODNPI 1164589446
Title
OD
Phone
(573) 333-3937

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 SINGLE SPECIALTY GROUP 152W00000X 2001018642 MO Primary

Addresses

Primary practice location

400 Ward Ave
Caruthersville, MO 63830-1451

Mailing address

400 Ward Ave
Caruthersville, MO 63830-1451
Phone (573) 333-3937

National Provider Directory

National Provider Directory

Locations

400 Ward Ave
Caruthersvlle, MO 63830
Phone (573) 333-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1609933902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301451",
            "telephone_number": "573-333-3937",
            "fax_number": "573-333-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARD AVE",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301451",
            "telephone_number": "573-333-3937",
            "fax_number": "573-333-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHEEL EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "WHITENER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "573-333-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001018642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caruthersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.