Advanced Sight Center, Inc.
Organization Active NPI Ophthalmology Physician · Washington, MO
NPI 1992725709 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992725709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- R9366 (MO)
- Legal business name
- ADVANCED SIGHT CENTER, INC.
- Practice address
- 1351 Jefferson St
Ste 110
Washington, MO 63090-6449 - Phone
- (636) 239-1650
- Fax
- (636) 239-9005
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Howard Newton Short, MD
- Title
- Owner
- Phone
- (636) 239-1650
Practitioners 5
-
Becky Lory, OD
-
Elliot Lawrence Korn, M.D.
-
Howard Newton Short, MD, FACS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041208000659 | MO | Part B Supplier - Clinic/Group Practice | 7113983404 |
Receives reassigned benefits from 5 practitioners Practice locations: Washington, MO |
National Provider Directory
Locations
1351 Jefferson St
Ste 110
Washington, MO 63090
Phone (636) 239-1650
Interoperability endpoints
- rolk@ascmo.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | R9366 | MO | Yes |
Addresses
Primary practice location
1351 Jefferson St
Ste 110
Washington, MO 63090-6449
Mailing address
1351 Jefferson St
Ste 110
Washington, MO 63090-6449
Phone (636) 239-1650
Other providers in Washington, MO
- A Peaceful Heart LLC
- Advanced Hearing Care
- Elizabeth Aholt
- Suraj Kumar Alakkassery Kumaran
- Hannah Alfermann
- Jerry H Allen
- Mamdouh Alrata
All providers in Washington, MO · Ophthalmology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.