Macy Breanne Roller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2022021450 Issued in MO

Practice address

725 S Scott Blvd Ste 101
Columbia, MO 65203-0432

Phone

(573) 446-1600

NPI assigned

Jun 13, 2022

Sex

Female

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eldon Family Focus Eyecare LLCGroup PAC ID 9537496385, 4 clinicians

Columbia Family Focus Eyecare LLCGroup PAC ID 8921328436, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Columbia Family Focus Eyecare, LLC

  • Optometrist
  • Columbia, MO
  • NPI 1508259987
  Medicare reassignment Care Compare group NPD
• Eldon Family Focus Eyecare LLC

  • Optometrist
  • Eldon, MO
  • NPI 1700353851
  Medicare reassignment Care Compare group NPD
• Eyecare Specialties of Missouri LLC

  • Optometrist
  • Warrensburg, MO
  • NPI 1730596248
  Medicare reassignment NPD
• Eyecare Specialties of Missouri LLC

  • Optometrist
  • Lees Summit, MO
  • NPI 1720453251
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1871223883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S SCOTT BLVD STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030396",
            "telephone_number": "573-446-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S SCOTT BLVD STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030432",
            "telephone_number": "573-446-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Eldon",
            "state": "MO",
            "postal_code": "650261444",
            "country_code": "US",
            "telephone_number": "573-375-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "MACY",
        "middle_name": "BREANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2022021450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquline Roland
• William E Roland, M.D.
• Madeline Keiko Roll, PHARMD
• Marissa Roll, MED, BCBA
• James A Roller, M.D.
• Madalyn Margaret Roller
• Alexandra Rollins, MS
• Mary Ellen Rollins, BSN
• Lisa Marie Prather Rollison, DO
• Ashley Dawn Romans

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.