Individual provider Active NPI

Nathan Sharp, OD

  • Optometrist
  • Joplin, MO
National Provider Identifier
1932891074
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2023018922 Issued in MO
Practice address
2318 E 32ND St
Joplin, MO 64804-4348
Phone
(417) 206-0399
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2023018922 MO Primary

Addresses

Primary practice location

2318 E 32ND St
Joplin, MO 64804-4348

Mailing address

2318 E 32ND St
Joplin, MO 64804-4348

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230620001888 MO Practitioner - Optometry 4486012630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023018922MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lazenby Optometry Associates Inc Optometrist CurrentSince May 31, 2023 Accepting new patients
Stilley Eye Associates, P.C. Optometrist CurrentSince May 31, 2023 Accepting new patients

Locations

2318 E 32nd St
Ste A
Joplin, MO 64804
Phone (417) 206-0399

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1932891074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044348",
            "telephone_number": "417-206-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "NATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2023018922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.