Gary David Neymeyer, OD
Individual provider Active NPI Optometrist · Pineville, MO
NPI 1801915244 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801915244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T02373 (MO)
- Practice address
- 342 Commercial Drive
Pineville, MO 64856 - Phone
- (417) 226-5850
- Fax
- (417) 226-5850
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T02373 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary D. Neymeyer, O.D., P.C. | Optometrist | Past |
Accepting new patients |
| Lazenby Optometry Associates Inc | Optometrist | Past |
Accepting new patients |
| Stilley Eye Associates, P.C. | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02373 | MO | Yes |
Addresses
Primary practice location
342 Commercial Drive
Pineville, MO 64856
Mailing address
6 Dewsbury Circle
Bella Vista, AR 72714
Phone (479) 855-0661
Other providers in Pineville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.