Organization Active NPI

Invision Family Eye Care

  • Optometrist
  • Rolla, MO
National Provider Identifier
1649424722
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008017877 Issued in MO
Legal business name
INVISION FAMILY EYE CARE
Practice address
1211 Hauck Dr
Rolla, MO 65401-4900
Phone
(573) 364-6300
Fax
(573) 341-5058
NPI assigned
Nov 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Amanda L Bahr, O.D.NPI 1881856748
Title
President
Phone
(573) 364-6300

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 2008017877 MO Primary

Addresses

Primary practice location

1211 Hauck Dr
Rolla, MO 65401-4900

Mailing address

1211 Hauck Dr
Rolla, MO 65401-4900
Phone (573) 364-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081215000058 MO Part B Supplier - Clinic/Group Practice 8022170729 Receives reassigned benefits from 2 practitioners
Practice locations: Rolla, MO

National Provider Directory

National Provider Directory

Locations

1211 Hauck Dr
Rolla, MO 65401
Phone (314) 364-6300

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": "1226793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1649424722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HAUCK DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014900",
            "telephone_number": "573-364-6300",
            "fax_number": "573-341-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAUCK DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014900",
            "telephone_number": "573-364-6300",
            "fax_number": "573-341-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVISION FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-16",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-364-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.