Organization Active NPI

Huntress Eye Care Associates Optometrists, P.C.

  • Optometrist
  • Monett, MO
National Provider Identifier
1821132085
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO2905 Issued in MO
Legal business name
HUNTRESS EYE CARE ASSOCIATES OPTOMETRISTS, P.C.
Practice address
215 4TH St
Monett, MO 65708-2314
Phone
(417) 235-2020
Fax
(417) 235-5508
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Miss Debbie M Washeck
Title
Office Manager
Phone
(417) 235-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TO2905 MO Primary

Addresses

Primary practice location

215 4TH St
Monett, MO 65708-2314

Mailing address

215 4TH St
P.O. Box 460
Monett, MO 65708-2314
Phone (417) 235-2020

Other identifiers 2

IdentifierTypeStateIssuer
312853807MedicaidMO
313604001MedicaidMO

National Provider Directory

National Provider Directory

Locations

215 4th St
Monett, MO 65708
Phone (417) 235-2020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1821132085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 4TH ST",
            "address_2": "P.O. BOX 460",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082314",
            "telephone_number": "417-235-2020",
            "fax_number": "417-235-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 4TH ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082314",
            "telephone_number": "417-235-2020",
            "fax_number": "417-235-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTRESS EYE CARE ASSOCIATES OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "WASHECK",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-235-2020",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312853807",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313604001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.