Aggie R Bruemmer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2023022208 Issued in MO

Practice address

640 W Chestnut St
Springfield, MO 65806-1016

Phone

(417) 869-3937

Fax

(417) 869-0281

NPI assigned

Jun 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Specialties of Missouri LLCGroup PAC ID 9931421187, 12 clinicians

Heffington Optical Company IncGroup PAC ID 3577682160, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Eyecare Specialties of Missouri LLC

  dba Eyecare Specialites

  • Optometrist
  • Warrensburg, MO
  • NPI 1730596248
  Medicare reassignment Care Compare group NPD
• Heffington Optical Company Inc

  dba OptiLand

  • Optician
  • Springfield, MO
  • NPI 1912052176

  Optometrist

  Medicare reassignment Care Compare group NPD
• Heffington's House of Vision Inc

  • Optometrist
  • Springfield, MO
  • NPI 1861527251
  Medicare reassignment NPD
• Eyecare Specialties of Missouri LLC

  dba Eyecare Specialties

  • Optometrist
  • Lee's Summit, MO
  • NPI 1720453251
  NPD
• Eyecare Specialties of Missouri LLC

  dba Eyecare Specialties

  • Optometrist
  • Sedalia, MO
  • NPI 1053482711
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1972287548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658010774",
            "telephone_number": "417-869-3937",
            "fax_number": "417-869-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658061016",
            "telephone_number": "417-869-3937",
            "fax_number": "417-869-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 E Woodhurst Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044281",
            "country_code": "US",
            "telephone_number": "417-882-3937",
            "fax_number": "417-887-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUEMMER",
        "first_name": "AGGIE",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2023022208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Browning, RD, RDN
• Mandy Melissa Browning, LCSW
• Suzanne R Brownma, MA CCC-SLP
• Christopher Brownsworth, MD
• Ronnie D. Brownsworth, MD
• Ruth Alison Brugman, PHARM D
• Cierra Dawn Brumback, ATC
• Sheena R Brumfield, FNP
• Matthew Justin Bruner, D.O.
• Sara Bruner, PHARMD

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.