Organization Active NPI

Rose Vision Care LLC

  • Optometrist
  • West Plains, MO
National Provider Identifier
1689789570
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001024885 Issued in MO
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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.NPI 1548421373
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
315902205MedicaidMO

Other names 1

  • vision xpress Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.