Organization Active NPI

DRS Bowling Griffith & Antle Optometrists PC

Doing business as DBA Ozarks Family Vision Centre

  • Optometrist
  • Branson, MO
National Provider Identifier
1861478679
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS BOWLING GRIFFITH & ANTLE OPTOMETRISTS PC
Doing business as
DBA Ozarks Family Vision Centre
Practice address
1000 James Epps Road
Suite 1
Branson, MO 65616-2030
Phone
(417) 334-7291
Fax
(417) 334-6156
NPI assigned
Dec 22, 2005
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Stacey Wenger Bowling, ODNPI 1780668491
Title
Owner, Authorized Official
Phone
(417) 334-7291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1000 James Epps Road
Suite 1
Branson, MO 65616-2030

Mailing address

1000 James Epps Road
Suite 1
Branson, MO 65616-2030
Phone (417) 334-7291

Other practice location 1

916 Springfield Rd
Ava, MO 65608-5477
Phone (417) 683-3612

Other identifiers 1

IdentifierTypeStateIssuer
000006128OtherMOGROUP PTAN

Other names 1

  • DBA Ozarks Family Vision Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051026000846 MO Part B Supplier - Clinic/Group Practice 1052338373 Receives reassigned benefits from 6 practitioners
Practice locations: Ava, MO; Branson, MO
O20100930013992 MO DME Supplier - Physician - OptometristDME Supplier - Optician 1052338373 Practice locations: Branson, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ozarks Family Vision Centre1000 James F Epps Rd, Branson, MO 65616-7354(417) 334-7291 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Ozarks Family Vision Ce2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

916 Springfield Rd
Unit A
Ava, MO 65608
Phone (417) 683-3612

14974 US Highway 160
Unit 6
Forsyth, MO 65653
Phone (417) 546-4464

Interoperability endpoints

  • Direct secure messaging: agriffith@ozarksfamily.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1861478679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JAMES EPPS ROAD",
            "address_2": "SUITE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162030",
            "telephone_number": "417-334-7291",
            "fax_number": "417-334-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JAMES EPPS ROAD",
            "address_2": "SUITE 1",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162030",
            "telephone_number": "417-334-7291",
            "fax_number": "417-334-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Springfield Rd",
            "address_purpose": "LOCATION",
            "city": "Ava",
            "state": "MO",
            "postal_code": "656085477",
            "country_code": "US",
            "telephone_number": "417-683-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRS BOWLING GRIFFITH & ANTLE OPTOMETRISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "WENGER BOWLING",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-334-7291",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "000006128",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Ozarks Family Vision Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DBA Ozarks Family Vision Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.