Organization Active NPI

Vision Rehabilitation Center of the Ozarks

  • Low Vision Rehabilitation Optometrist
  • Springfield, MO
National Provider Identifier
1942590864
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
T03116 Issued in MO
Legal business name
VISION REHABILITATION CENTER OF THE OZARKS
Doing business as
Vision Rehabilitation Center of the Ozarks
Practice address
1661 W Elfindale St
Springfield, MO 65807-1287
Phone
(417) 831-0555
Fax
(417) 831-0532
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Debra L Williams, O. D.
Title
Owner
Phone
(417) 739-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X T03116 MO Primary

Addresses

Primary practice location

1661 W Elfindale St
Springfield, MO 65807-1287

Mailing address

1661 W Elfindale St
Springfield, MO 65807-1287
Phone (417) 831-0555

Other names 1

  • Vision Rehabilitation Center of the Ozarks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vision Rehabiliation Center of the Ozarks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1661 W Elfindale St
Springfield, MO 65807
Phone (417) 739-2411

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1942590864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071287",
            "telephone_number": "417-831-0555",
            "fax_number": "417-831-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 W ELFINDALE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071287",
            "telephone_number": "417-831-0555",
            "fax_number": "417-831-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION REHABILITATION CENTER OF THE OZARKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-739-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MO",
            "license": "T03116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Rehabilitation Center of the Ozarks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.