Active NPI
Rose Vision Care LLC
- Optometrist
- West Plains, MO
National Provider Identifier
1689789570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2001024885
- Legal business name
- ROSE VISION CARE LLC
- Practice address
- 1713 Gibson St
West Plains, MO 65775-1815 - Phone
- (417) 256-8393
- NPI assigned
- Aug 20, 2006
- Last updated
- Jun 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Tod Rose, O.D.
- Title
- Owner
- Phone
- (417) 256-8393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2001024885 | MO | Primary |
Addresses
Primary practice location
1713 Gibson St
West Plains, MO 65775-1815
Mailing address
1713 Gibson St
West Plains, MO 65775-1815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 315902205 | Medicaid | MO |
Other names 1
- vision xpress
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- West Plains, MO
- NPI 1548421373
-
- Optometrist
- West Plains, MO
- NPI 1083649313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1689789570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 GIBSON ST",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657751815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 GIBSON ST",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657751815",
"telephone_number": "417-256-8393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE VISION CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "TOD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-256-8393",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "2001024885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "315902205",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "vision xpress",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.