David R Coleman OD LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

TO2322 Issued in MO

Legal business name

DAVID R COLEMAN OD LLC

Doing business as

Coleman Vision Improvement Center

Practice address

1030 SE Murphy Blvd
Joplin, MO 64801-5043

Phone

(417) 782-3488

Fax

(417) 782-8150

NPI assigned

Jul 29, 2009

Last updated

Feb 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David R Coleman, TO2322

Title

Owner

Phone

(417) 782-3488

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Coleman Vision Improvement Center Doing business as

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1932330644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SE MURPHY BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015043",
            "telephone_number": "417-782-3488",
            "fax_number": "417-782-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SE MURPHY BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015043",
            "telephone_number": "417-782-3488",
            "fax_number": "417-782-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R COLEMAN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-782-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "TO2322"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "TO2322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311427801",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090450B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Vision Improvement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carter Daugherty
• Natalie Lorene Davenport-Hernandez
• David Dowell DPM
• David L Straub, M.D.,P.C.
• David L. Detar, DDS, PC
• Aaron David, DMD
• Michael D David, DO
• Elloren Neadel Davidson, CRNA
• Felicia Davis-Smith, PMHNP-C
• Daniel Davis

• Vision Therapy Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Vision Therapy Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.