Vanover Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VANOVER VISION LLC

Practice address

279 N Eastgate Ave
Springfield, MO 65802

Phone

(417) 512-8954

Fax

(417) 512-8855

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matthew R Vanover, ODNPI 1114082633

Title

Optometrist

Phone

(417) 693-9512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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

• Matthew Vanover, OD

  • Optometrist
  • Springfield, MO
  • NPI 1114082633
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1750952941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S FORREST HEIGHTS AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092318",
            "telephone_number": "417-693-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N EASTGATE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65802",
            "telephone_number": "417-512-8954",
            "fax_number": "417-512-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANOVER VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-13",
        "status": "A",
        "authorized_official_last_name": "VANOVER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "417-693-9512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vane LLC
• Ashley Michelle Vanhorn, FNP-C
• Pamela Laroy Vann, MSW
• Brittany Vannostrand, LCSW
• Kelvin D. Vanosdol, MD
• Matthew Vanover, OD
• James Erek Vanriessen, M.D.
• Erin Marie Varner, FNP
• Jonathan Kirk Vashaw, DO
• Mary Kay Vaske, MD

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.