Premiere Eye Associates, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PREMIERE EYE ASSOCIATES, P.C.

Practice address

1400 Hwy 61 South
Suite 130
Crystal City, MO 63019

Phone

(636) 937-8855

Fax

(636) 931-6561

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark H Spurrier, M.D.

Title

President/Owner

Phone

(636) 937-8855

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• InSight Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 5

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

• Humeyra Karacal, MD

  • Ophthalmology Physician
  • Festus, MO
  • NPI 1144316944
  Medicare reassignment Care Compare group
• Bradford B. Kesler, O.D.

  • Optometrist
  • Festus, MO
  • NPI 1548269954
  Medicare reassignment Care Compare group
• Randall Nacke, M.D.

  • Ophthalmology Physician
  • Crystal City, MO
  • NPI 1093828782
  Medicare reassignment Care Compare group
• Fletcher Thomas Ott, M.D.

  • Ophthalmology Physician
  • Festus, MO
  • NPI 1346249752
  NPD (past)
• Kwang Soo Kim, MD

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1841326212
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1740201482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630190013",
            "telephone_number": "636-937-8855",
            "fax_number": "636-931-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HWY 61 SOUTH",
            "address_2": "SUITE 130",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "63019",
            "telephone_number": "636-937-8855",
            "fax_number": "636-931-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "SPURRIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "636-937-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN DME MAC",
            "identifier": "0695040001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN1852",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitchell Scott Pearson
• Tracey Phelps
• Nancy A Pippin, M.ED.
• Dustin John Politte-Bender, MT-BC
• Erin M Poniewaz, LPC
• Psychotherapy LLC
• Lisa Ann Ramacher, PT
• Rebel Wellness, LLC
• Melani Saito, PLPC
• Earl Scott, MD

• Ophthalmology Physician in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.