NPIMap

Organization Active NPI

TLC Laser Eye Centers (Refractive I) Inc.

  • Clinic/Center
  • Springfield, MO
National Provider Identifier
1639384993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TLC LASER EYE CENTERS (REFRACTIVE I) INC.
Practice address
1701 S Enterprise Ave
Ste. 103
Springfield, MO 65804-1855
Phone
(417) 429-1320
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian L Andrew
Title
Secretary
Phone
(636) 534-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1701 S Enterprise Ave
Ste. 103
Springfield, MO 65804-1855

Mailing address

16305 Swingley Ridge Rd
Ste. 300
Chesterfield, MO 63017-1777
Phone (636) 534-2300

Other names 1

  • TLC Laser Eye Centers Springfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TLC Laser Eye Centers Refractive I Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1701 S Enterprise Ave
Ste 103
Springfield, MO 65804
Phone (417) 429-1320

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639384993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16305 SWINGLEY RIDGE RD",
            "address_2": "STE. 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171777",
            "telephone_number": "636-534-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S ENTERPRISE AVE",
            "address_2": "STE. 103",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041855",
            "telephone_number": "417-429-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC LASER EYE CENTERS (REFRACTIVE I) INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-534-2300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Laser Eye Centers Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.