Farmington Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FARMINGTON VISION CARE LLC

Practice address

110 E Harrison St
Farmington, MO 63640

Phone

(573) 756-5665

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Clint Michael Wolk, ODNPI 1659534279

Title

Owner/Optometrist

Phone

(573) 883-5665

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clint Michael Wolk, O.D.

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1659534279
  Medicare reassignment Care Compare group NPD Authorized official
• Courtney Kwan

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1750798021
  Medicare reassignment Care Compare group NPD
• Kaitlyn Elizabeth Lukefahr, OD

  • Optometrist
  • Ste Genevieve, MO
  • NPI 1154815462
  Medicare reassignment Care Compare group NPD
• Lesa Mueller Klein, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1770545022
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1992206213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21530 HWY 32 STE A",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636708813",
            "telephone_number": "573-883-5665",
            "fax_number": "573-883-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HARRISON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "573-883-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmington Physician Services LLC
• Farmington School District R-VII
• Farmington Speech Therapy, LLC
• Farmington Sports and Rehabilitation Joint Venture
• Farmington Therapeutic Massage LLC
• Rafi Fasihuddin, DPM
• Adam Feltes
• Karen Sue Ferrell, MSW, LCSW
• Rafael E Figueroa Dugarte, M.D.
• Andrew D Files, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.