Courtney L Wintjen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2006017342 Issued in MO

Practice address

1426 E Bradford Pkwy
Springfield, MO 65804-6563

Phone

(417) 887-7151

Fax

(417) 887-7153

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney L Vannoy Former name

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pierce Vision Specialists, LLCGroup PAC ID 5193970648, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Pierce Vision Specialists, LLC

  • Optometrist
  • Springfield, MO
  • NPI 1063758878
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1801907670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046563",
            "telephone_number": "417-887-7151",
            "fax_number": "417-887-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046563",
            "telephone_number": "417-887-7151",
            "fax_number": "417-887-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTJEN",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006017342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "VANNOY",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Winkler, LCSW
• Lisa Winn, LPC
• Krista Winship, LMSW
• Mary Michelle Winslow, MA
• Rachael Joan Winston, MD
• Allison Wise, PSY.D
• Lani Wise
• Renee Wise, MS
• Neil Henry Wiskur
• Joseph Wisterman

• 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 Apr 8, 2016; 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.