Jeffrey Haidon Powell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02187 Issued in MO

Practice address

2320 S Main St
Maryville, MO 64468-3622

Phone

(660) 582-4022

Fax

(660) 582-4038

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Insight Eyecare Specialties Inc.

  • Ophthalmology Physician
  • Kansas City, MO
  • NPI 1285728196

  Optometrist

  Medicare reassignment NPD
• Insight Eyecare Specialties Inc

  • Optometrist
  • Independence, MO
  • NPI 1952686255
  NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1679543995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SOUTH MAIN ST.",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "64468",
            "telephone_number": "660-582-4022",
            "fax_number": "660-582-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644683622",
            "telephone_number": "660-582-4022",
            "fax_number": "660-582-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JEFFREY",
        "middle_name": "HAIDON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "3974310001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna K Pile
• Holly Poppa, FNP
• Nicole M Poppa, HIS
• Powell Optometry a Professional Corporation
• Isla Powell
• Harold Lee Poynter III, O. D.
• Jeremy Poynter
• Paul Richard Poynter, O. D.
• Phillip Mark Poynter, DDS
• Kelly Leann Quinlin, ATC, LAT, CSCS

• Optometrist in Maryville, MO
• Providers in Maryville, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.