Active NPI
Eye to Eye Optometry, Inc
- Optometrist
- Mexico, MO
National Provider Identifier
1952501223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03285
- Legal business name
- EYE TO EYE OPTOMETRY, INC
- Practice address
- 201 S Muldrow St
Mexico, MO 65265-1980 - Phone
- (573) 581-8811
- Fax
- (573) 582-7007
- NPI assigned
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Williams, MBA
- Title
- Clinical Director
- Phone
- (573) 581-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03285 | MO | Primary |
Addresses
Primary practice location
201 S Muldrow St
Mexico, MO 65265-1980
Mailing address
321 W Promenade St
Mexico, MO 65265-2719
Phone (573) 581-8811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313780306 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mexico, MO
- NPI 1558420547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520294400000",
"number": "1952501223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 W PROMENADE ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652719",
"telephone_number": "573-581-8811",
"fax_number": "573-582-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S MULDROW ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652651980",
"telephone_number": "573-581-8811",
"fax_number": "573-582-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE TO EYE OPTOMETRY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2018-03-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "573-581-8811",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T03285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313780306",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.