Dexter Family Eye Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2008017078 Issued in MO

Legal business name

DEXTER FAMILY EYE CARE, LLC

Practice address

223 N Walnut St
Dexter, MO 63841-1767

Phone

(573) 614-5393

Fax

(573) 614-5639

NPI assigned

Aug 10, 2008

Last updated

Aug 10, 2008By 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

Jennifer K Howard, O.D.NPI 1114189347

Title

Optometrist/ Owner

Phone

(573) 614-5393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Jennifer K Howard, O.D.

  • Optometrist
  • Dexter, MO
  • NPI 1114189347
  Medicare reassignment Care Compare group Authorized official
• Kathryn A. Mayberry, O.D.

  • Optometrist
  • Dexter, MO
  • NPI 1124275235
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218326400000",
    "number": "1962658971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411767",
            "telephone_number": "573-614-5393",
            "fax_number": "573-614-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411767",
            "telephone_number": "573-614-5393",
            "fax_number": "573-614-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-10",
        "last_updated": "2008-08-10",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "573-614-5393",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2008017078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Joy Deane, FNP-C
• Demaree Mitchell Family Dentistry LLC
• Derek Demaree, PHD
• Terry W Demaree, DDS
• Dexter Emergency Physicians, LLC
• Dexter Hospital LLC (Dexter Childrens Clinic)
• Dexter Hospital LLC (The Clinic At Walmart)
• Dexter Hospital LLC (MSH Gener Al Surgery)
• Dexter Hospital LLC (Jibben Medical)
• Dexter Hospital LLC (Dr David McFadden)

• Clinic/Center in Dexter, MO
• Providers in Dexter, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.