Organization Active NPI

Bourn and Associates, P.C.

  • Optometrist
  • Chesterfield, MO
National Provider Identifier
1659506400
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008999 Issued in IL
Legal business name
BOURN AND ASSOCIATES, P.C.
Practice address
106 Four Seasons Shopping Ctr Ste 110
Chesterfield, MO 63017-3173
Phone
(217) 303-8600
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Mrs. Tonya K Bourn, OD
Title
President
Phone
(217) 303-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-008999 IL Primary

Addresses

Primary practice location

106 Four Seasons Shopping Ctr Ste 110
Chesterfield, MO 63017-3173

Mailing address

64 Navajo Dr
Springfield, IL 62711-6084
Phone (217) 741-2315

Other names 2

  • Bourn Vision Doing business as
  • Dry Eye Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1111 W Morton Ave
Jacksonville, IL 62650
Phone (217) 243-4440

4000 Westgate Dr
Ste B
Springfield, IL 62711
Phone (217) 303-8600

4000 Westgate Dr
Springfield, IL 62711
Phone (217) 726-6101

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1659506400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 NAVAJO DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116084",
            "telephone_number": "217-741-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOUR SEASONS SHOPPING CTR STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173173",
            "telephone_number": "217-303-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURN AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "BOURN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-303-8600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourn Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dry Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.