Individual provider Active NPI

Jaimie M Pfeifer, O.D.

  • Optometrist
  • Saint Joseph, MO
National Provider Identifier
1760484950
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2003015592 Issued in MO
Practice address
5202 Faraon St
Saint Joseph, MO 64506-3809
Phone
(816) 233-2020
Fax
(816) 279-4662
NPI assigned
Jun 1, 2005
Last updated
Jul 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2003015592 MO Primary

Addresses

Primary practice location

5202 Faraon St
Saint Joseph, MO 64506-3809

Mailing address

5202 Faraon St
Saint Joseph, MO 64506-3809
Phone (816) 233-2020

Other identifiers 1

IdentifierTypeStateIssuer
319219507MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001101 MO Practitioner - Optometry 9830082155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 Lana Dr
Cameron, MO 64429-1585
Phone (816) 233-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Watson Burr Eye Center Inc CurrentSince Jan 1, 2004 Accepting new patients
Murphy Watson Burr Eye Center, Inc. Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Littlefield Eye Associates, LLC Optometrist PastSince Jan 21, 2022 Accepting new patients
Visionworks, Inc. Optometrist Past Accepting new patients

Locations

610 Lana Dr
Cameron, MO 64429
Phone (816) 233-2020

5202 Faraon St
Saint Joseph, MO 64506
Phone (316) 835-2231

Interoperability endpoints

  • Direct secure messaging: jaimie.pfeifer@mwbec.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1760484950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063809",
            "telephone_number": "816-233-2020",
            "fax_number": "816-279-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063809",
            "telephone_number": "816-233-2020",
            "fax_number": "816-279-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "JAIMIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003015592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319219507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.