Central Missouri Eyecare Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CENTRAL MISSOURI EYECARE ASSOCIATES LLC

Practice address

1445 Christy Dr Ste a
Jefferson City, MO 65101-2853

Phone

(573) 659-5560

Fax

(573) 659-5561

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Ann McEntire

Title

Practice Manager

Phone

(573) 659-5560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Tax ID family

Central Missouri Eyecare Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Missouri Vision Center

  • Optometrist
  • Jefferson City, MO
  • NPI 1104924992
  NPD tax ID

Locations

Practitioners 4

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

• Thomas Dale Greene, OD

  • Optometrist
  • Jefferson City, MO
  • NPI 1386138303
  Medicare reassignment Care Compare group NPD
• Thomas F Greene, O.D.

  • Optometrist
  • Jefferson City, MO
  • NPI 1124050588
  Medicare reassignment Care Compare group NPD
• Timothy C Hougland, O.D.

  • Optometrist
  • Jefferson City, MO
  • NPI 1760776140
  Medicare reassignment Care Compare group NPD
• Srikavi Premnath, OD

  • Optometrist
  • Jefferson City, MO
  • NPI 1457278814
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760117147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 CHRISTY DR STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012853",
            "telephone_number": "573-659-5560",
            "fax_number": "573-659-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 CHRISTY DR STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012853",
            "telephone_number": "573-659-5560",
            "fax_number": "573-659-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSOURI EYECARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "573-659-5560"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center of Orthopedic Excellence Inc
• Central Connections, Inc
• Central Missouri Cardiology, P.C.
• Central Missouri Counseling, Inc
• Central Missouri Diagnostic Services, LLC
• Central Missouri Vision Center
• Central Mo Ear, Nose, Throat, & Sinus, P.C.
• Grace B Chambly, LPN
• Kurian George Chandy
• Caitlyn Chapman

• Optometrist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.