Mount Vernon Eyecare Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNT VERNON EYECARE ASSOCIATES, LLC

Practice address

104 S Hickory
Mount Vernon, MO 65712

Phone

(417) 466-7620

Fax

(417) 466-7620

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Tanya Burdett

Title

Office Manager

Phone

(417) 235-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Shane R Kannarr, OD

  • Optometrist
  • Pittsburg, KS
  • NPI 1891772489
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1609957885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657120603",
            "telephone_number": "417-466-7620",
            "fax_number": "417-466-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S HICKORY",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "65712",
            "telephone_number": "417-466-7620",
            "fax_number": "417-466-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "BURDETT",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-235-5250"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530524107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missouri Baptist Childrens Home
• Missouri Rehabilitation Center
• Missouri Veterans Commission
• Shelby Lauren Moore, PTA
• Motherworks, LLC
• Mt Vernon Place Care Center, Inc.
• Sandra Nkechi Muoghalu, DDS
• Linda Myers, MD
• Jackie L Norris, PLPC
• Brandon O'Connell, DC

• Optometrist in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.