Eye Surgery Consultants, LLP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE SURGERY CONSULTANTS, LLP

Practice address

2210 Barron Rd
Suite114
Poplar Bluff, MO 63901-1908

Phone

(573) 686-4800

Fax

(573) 686-8448

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Becky J Paulus

Title

Billing Supervisor

Phone

(573) 686-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1922078419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE114",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-686-4800",
            "fax_number": "573-686-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE114",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-686-4800",
            "fax_number": "573-686-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CONSULTANTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "573-686-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509773602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Evans
• Cody Eveland
• Karl James Ewert, DPM
• Executive Pulmonary Medicine, PC
• Eye Surgery Consultants LLC
• Kathleen L Fain
• Clea Marie Fairaizl, LCSW
• Michael Scott Fairlamb
• Roger Dean Faltys, CRNA
• Shane D Faltys, CRNA

• Ophthalmology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.