Eldon R Repsher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002002924 Issued in MO

Practice address

2013 S Joplin Ave
Joplin, MO 64804-2033

Phone

(417) 624-5005

Fax

(417) 624-5215

NPI assigned

Jun 16, 2005

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Eyecare Associates LLC

  • Optometrist
  • Joplin, MO
  • NPI 1275707887
  Medicare reassignment NPD Authorized official
• Lazenby Optometry Associates Inc

  • Optometrist
  • Joplin, MO
  • NPI 1205048170
  NPD (past)
• Stilley Eye Associates, P.C.

  • Optometrist
  • Joplin, MO
  • NPI 1902000466
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1629073697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BRIARBROOK",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "64834",
            "telephone_number": "417-649-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042033",
            "telephone_number": "417-624-5005",
            "fax_number": "417-624-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPSHER",
        "first_name": "ELDON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002002924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "190561",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renewing Mental Health, LLC
• Caroline Elizabeth Renger, LPC
• Robert W Renger, D.D.S.
• Brock Michael Renken
• Miranda L Renteria, PLPC
• Resolutions Consulting Group, LLC
• Kyle Rettig
• Mallory Kate Revell, DNP
• Nathan Daniel Reyman
• Alicia D Reynolds, RD

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.