Organization Active NPI

Ozark Eye Clinic, LLC

  • Optometrist
  • Ozark, MO
National Provider Identifier
1649403650
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO3300 Issued in MO
Legal business name
OZARK EYE CLINIC, LLC
Practice address
1000 W Jackson St
Ozark, MO 65721-9163
Phone
(417) 581-5581
Fax
(417) 581-5511
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Marie E Batson, O.D.NPI 1700871035
Title
Owner
Phone
(417) 581-5581

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 TO3300 MO Primary

Addresses

Primary practice location

1000 W Jackson St
Ozark, MO 65721-9163

Mailing address

1000 W Jackson St
Ozark, MO 65721-9163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100119000018 MO Part B Supplier - Clinic/Group Practice 7214079987 Receives reassigned benefits from 1 practitioner
Practice locations: Ozark, MO
O20100930085218 MO DME Supplier - Physician - Optometrist 7214079987 Practice locations: Ozark, MO

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
Ozark Eye Clinic1000 W Jackson St, Ozark, MO 65721(417) 581-5581 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1649403650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219163",
            "telephone_number": "417-581-5581",
            "fax_number": "417-581-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-581-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.