Mattax Neu Prater Eye Center, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MATTAX NEU PRATER EYE CENTER, INC

Practice address

1265 E Primrose St
Springfield, MO 65804-4278

Phone

(417) 886-3937

Fax

(417) 886-1285

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

James B Mattax Jr., M.D.

Title

Corporate President

Phone

(417) 886-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Lebanon, MO
  • NPI 1528163300

  6103713979

  Same PAC ID
• Mattax Neu Prater Eye Center, Inc.

  • Eyewear Supplier
  • Lebanon, MO
  • NPI 1578783700

  6103713979

  Same PAC ID
• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Springfield, MO
  • NPI 1790745313

  6103713979

  Same PAC ID

Tax ID family

Mattaxneuprater Eye Cen4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Lebanon, MO
  • NPI 1528163300
  NPD tax ID
• Mattax Neu Prater Eye Center, Inc.

  • Eyewear Supplier
  • Lebanon, MO
  • NPI 1578783700
  NPD tax ID
• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Springfield, MO
  • NPI 1790745313
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Nasrazadani, MD

  • Ophthalmology Physician
  • Springfield, MO
  • NPI 1922529536
  NPD (past)
• Stephen G Stufflebam, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MO
  • NPI 1598803884
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1669692893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTAX NEU PRATER EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MATTAX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "417-886-3937",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Matlock, M.D.
• McKenzie Anne Matlock, PA
• Seth Matlock
• Megan Matney, NP-C
• Matt Stunkel DDS, LLC
• Mattax Neu Prater Eye Center, Inc.
• Mattax Neu Prater Surgery Center, LLC
• James B Mattax Jr., M.D.
• Nancy G. Mattax, PH.D.
• Carol A Matthews, NP

• Eyewear Supplier in Springfield, MO
• Providers in Springfield, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.