Springfield Family Vision

Primary specialty

OptometristTaxonomy code 152W00000X

License

2011018573 Issued in MO

Legal business name

SPRINGFIELD FAMILY VISION

Practice address

2939 E Battlefield St
Springfield, MO 65804-4015

Phone

(417) 881-3937

NPI assigned

Aug 20, 2015

Last updated

May 8, 2024By 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

Dr. Katie Robertson McElvaine, O.D.NPI 1750677753

Title

Practice Owner

Phone

(417) 300-4587

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Katie Robertson McElvaine, O.D.

  • Optometrist
  • Springfield, MO
  • NPI 1750677753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1992171201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 E BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044015",
            "telephone_number": "417-881-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 E BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044015",
            "telephone_number": "417-881-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FAMILY VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "MCELVAINE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "417-300-4587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011018573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Eye & Plastic Surgery
• Springfield Eye Specialists LLC
• Springfield Eyecare, LLC
• Springfield Family Dental LLC (Springfield Family Dental)
• Springfield Family Medical Walk-in Clinics Inc
• Springfield Group Inc
• Springfield Healthcare Center LLC (Springfield Skilled Care Center)
• Springfield Healthcare Management LLC
• Springfield Hearing Aid Center
• Springfield Hearing Aid Center

• 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 May 8, 2024; 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.