Vision Source Bolivar - Medicare Optometrist in Bolivar, MO

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Vision Source Bolivar is a medicare enrolled "Optometrist" provider in Bolivar, Missouri. Their current practice location is 680 E Aldrich Road, Bolivar, Missouri. You can reach out to their office (for appointments etc.) via phone at (417) 777-9000.

Vision Source Bolivar is licensed to practice in Missouri (license number 20060182040) and it also participates in the medicare program. Vision Source Bolivar is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578969960.

Contact Information

Vision Source Bolivar
680 E Aldrich Road,
Bolivar, MO 65613
(417) 777-9000
(417) 777-9003

Map and Direction




Healthcare Provider's Profile

Full NameVision Source Bolivar
TypeFacility
SpecialityOptometrist
Location680 E Aldrich Road, Bolivar, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578969960
  • Provider Enumeration Date: 11/12/2014
  • Last Update Date: 12/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608190152
  • Enrollment ID: O20150112000562

Medical Identifiers

Medical identifiers for Vision Source Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578969960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 20060182040 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vision Source Bolivar acts as a billing entity for following providers:
Provider NameDouglas S Kirar
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1982709697
PECOS PAC ID: 5698677326
Enrollment ID: I20040123000168
Provider NameLaura B Montgomery
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881761161
PECOS PAC ID: 2860494192
Enrollment ID: I20070215000246
Provider NameErin E Genua
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184880692
PECOS PAC ID: 3870655590
Enrollment ID: I20081215000253

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vision Source Bolivar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vision Source Bolivar
325 S Main Ave,
Bolivar, MO 65613-2052

Ph: (417) 777-9000		Vision Source Bolivar
680 E Aldrich Road,
Bolivar, MO 65613

Ph: (417) 777-9000

Reviews and Comments


Optometrist in Bolivar, MO

Kemp Family Eye Care, Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 325 S Main Ave, Bolivar, MO 65613
Phone: 417-777-9000    Fax: 417-777-9003
Wesley Don Kemp, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 325 S Main Ave, Bolivar, MO 65613
Phone: 417-777-9000    Fax: 417-777-9003
Steven Bartholomew Od Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2451 S Springfield Ave, Bolivar, MO 65613
Phone: 417-777-7662    Fax: 417-777-6917
Dr. Shay Andrea Sechler, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 626 S Springfield Ave, Bolivar, MO 65613
Phone: 417-839-7724    
Mr. Richard Lane Nutt, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1111 E Cambridge St, Bolivar, MO 65613
Phone: 417-326-6001    
Dr. Laura Beth Montgomery, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 680 Aldrich Rd, Bolivar, MO 65613
Phone: 417-777-9000    Fax: 417-777-9000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.