Organization Active NPI

Vision Clinic PC

  • Optometrist
  • Ozark, MO
National Provider Identifier
1699020834
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CLINIC PC
Practice address
6005 N 21St St
Ozark, MO 65721-7634
Phone
(417) 582-2020
Fax
(417) 582-2027
NPI assigned
Jul 13, 2012
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Stephen R Rice, ODNPI 1558342808
Title
President, Ceo
Phone
(417) 886-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MO
Optometrist 152W00000X MO Primary

Addresses

Primary practice location

6005 N 21St St
Ozark, MO 65721-7634

Mailing address

3330 S National Ave Ste 2020
Springfield, MO 65807-7337
Phone (417) 725-0500

Other identifiers 1

IdentifierTypeStateIssuer
1740206911MedicaidMO

National Provider Directory

National Provider Directory

Locations

413 N McCroskey St
Ste 1
Nixa, MO 65714
Phone 4177250500 ext. 354

733 W Mount Vernon St
Nixa, MO 65714
Phone (417) 725-0500

213 W Olive St
Ste 101
Springfield, MO 65806
Phone (417) 862-3937

3340 S National Ave
Springfield, MO 65807
Phone (417) 886-5444

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1699020834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S NATIONAL AVE STE 2020",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077337",
            "telephone_number": "417-725-0500",
            "fax_number": "417-725-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 N 21ST ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217634",
            "telephone_number": "417-582-2020",
            "fax_number": "417-582-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "417-886-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740206911",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.