Jacob Pieper, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2019021386 Issued in MO

Practice address

3440 S National Ave
Springfield, MO 65807-7307

Phone

(417) 886-5444

Fax

(417) 725-0502

NPI assigned

Jun 18, 2019

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore Family Eyecare, LLCGroup PAC ID 8022149707, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.41 of 100Reported as group

Quality

78.81

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.pieper@direct.revolutionehr.com

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.

• Moore Family Eyecare, LLC

  • Health Service Clinic/Center
  • Mountain Grove, MO
  • NPI 1053631770

  Optometrist

  Medicare reassignment Care Compare group NPD
• The Koetting Associates Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1629106620
  Medicare reassignment NPD
• Vision Clinic PC

  • Optometrist
  • Springfield, MO
  • NPI 1316963564
  Medicare reassignment NPD
• Nu-Crown, LLC

  dba Crown Optical

  • Optometrist
  • Alton, IL
  • NPI 1295737294

  MO

  Medicare reassignment NPD
• Nucrown,Inc.

  dba Crown Optical

  • Optometrist
  • Saint Charles, MO
  • NPI 1114337102
  NPD
• Vision Clinic PC

  • Optometrist
  • Ozark, MO
  • NPI 1699020834
  NPD
• The Koetting Associates Inc.

  dba Eye Center of West County

  • Optometrist
  • Ellisville, MO
  • NPI 1962868463
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1801456199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 FOREST HAVEN EST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631232101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077307",
            "telephone_number": "417-886-5444",
            "fax_number": "417-725-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1351 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630906441",
            "country_code": "US",
            "telephone_number": "636-239-1650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2511 S Brentwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442308",
            "country_code": "US",
            "telephone_number": "314-863-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 N McCroskey St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149313",
            "country_code": "US",
            "telephone_number": "417-725-0500",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 N 21st St",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657217634",
            "country_code": "US",
            "telephone_number": "417-582-2020",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 State Highway 248 Ste A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656168004",
            "country_code": "US",
            "telephone_number": "417-334-0044",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 W Olive St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061307",
            "country_code": "US",
            "telephone_number": "417-862-3937",
            "fax_number": "417-725-0502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "JACOB",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019021386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy by Phoenix of Springfield LLC (Physical Therapy by Phoenix)
• Physical Therapy Care,Manual P.T. & Industrial Rehab.Centerp.C. (Physical Therapy Care,P.C.)
• Physicians for Breast Health, L.L.C.
• Cherrie L Pickett, FNP
• Trevor G. Pickett, CRNA
• Pierce Vision Specialists, LLC (Pierce Vision Specialists)
• David M Pierce, O.D.
• Emilee Pierce
• Laquita Pierce
• Rebekah Elizabeth Pierce, NP-C

• 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 Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.