Organization Active NPI

David L Remington OD PC

  • Eyewear Supplier
  • Boonville, MO
National Provider Identifier
1750629481
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
T02332 Issued in MO
Legal business name
DAVID L REMINGTON OD PC
Practice address
1951 Boone Village Dr
Boonville, MO 65233-1994
Phone
(660) 882-6456
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Mrs. Dee Shikles
Title
Office Manager
Phone
(660) 882-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X T02332 MO Primary

Addresses

Primary practice location

1951 Boone Village Dr
Boonville, MO 65233-1994

Mailing address

1951 Boone Village Dr
Boonville, MO 65233-1994
Phone (660) 882-6456

National Provider Directory

National Provider Directory

Locations

1951 Boone Village Dr
Boonville, MO 65233
Phone (660) 882-3333

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1750629481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BOONE VILLAGE DR",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331994",
            "telephone_number": "660-882-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BOONE VILLAGE DR",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331994",
            "telephone_number": "660-882-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L REMINGTON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "SHIKLES",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-882-6456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "T02332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.