NPIMap

Organization Active NPI

Missouri Eye Institute of Branson LLC

  • Ophthalmology Physician
  • Branson, MO
National Provider Identifier
1932232345
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MISSOURI EYE INSTITUTE OF BRANSON LLC
Doing business as
Missouri Eye Institute of Branson LLC
Practice address
1000 James F Epps Road
Ste 2
Branson, MO 65616
Phone
(417) 334-5752
Fax
(417) 334-5765
NPI assigned
Mar 14, 2007
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSOURI EYE INSTITUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Daniel R Osborn, MDNPI 1093701211
Title
Owner
Phone
(417) 887-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1000 James F Epps Road
Ste 2
Branson, MO 65616

Mailing address

1531 East Bradford Parkway Ste 100
Springfield, MO 65804-6539
Phone (417) 887-3900

Other identifiers 2

IdentifierTypeStateIssuer
000015311OtherMOMEDICARE PTAN
1932232345OtherMONPI

Other names 1

  • Missouri Eye Institute of Branson LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000412 MO Part B Supplier - Clinic/Group Practice 8325146921 Receives reassigned benefits from 4 practitioners
Practice locations: Monett, MO; Branson, MO

National Provider Directory

National Provider Directory
Part of
Missouri Eye Institute

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1932232345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 EAST BRADFORD PARKWAY STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046539",
            "telephone_number": "417-887-3900",
            "fax_number": "417-828-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JAMES F EPPS ROAD",
            "address_2": "STE 2",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-334-5752",
            "fax_number": "417-334-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI EYE INSTITUTE OF BRANSON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI EYE INSTITUTE LLC",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-887-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000015311",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932232345",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missouri Eye Institute of Branson LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Missouri Eye Institute of Branson LLC",
            "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 Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.