| David Nasrazadani, MD | |
| 1265 E Primrose St, Springfield, MO 65804-4278 | |
| (417) 886-3937 | |
| (417) 886-1285 | 
| Full Name | David Nasrazadani | 
|---|---|
| Gender | Male | 
| Speciality | Ophthalmology | 
| Location | 1265 E Primrose St, Springfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922529536 | NPI | - | NPPES | 
| 200072849 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 94-09368 (Kansas) | Secondary | 
| 207W00000X | Ophthalmology | 2022035535 (Missouri) | Primary | 
| Entity Name | Mattax Neu Prater Eye Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790745313 PECOS PAC ID: 6103713979 Enrollment ID: O20040304000594 | 
| Entity Name | Mattax Neu Prater Eye Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528163300 PECOS PAC ID: 6103713979 Enrollment ID: O20070423000227 | 
| Entity Name | Mattax Neu Prater Surgery Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1386604908 PECOS PAC ID: 7416007018 Enrollment ID: O20090602000302 | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Nasrazadani, MD 1010 N Kansas St, Wichita, KS 67214-3124 Ph: (316) 293-1818 | David Nasrazadani, MD 1265 E Primrose St, Springfield, MO 65804-4278 Ph: (417) 886-3937 | 
| Warren Patrick Collins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1342 E Primrose St, Suite B, Springfield, MO 65804 Phone: 417-869-3200 Fax: 417-869-3212 | |
| Thomas G Prater, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285 | |
| Dr. Daniel R Osborn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804 Phone: 417-887-3900 Fax: 417-887-3221 | |
| C Byron Faulkner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1330 E Kingsley St, Springfield, MO 65804 Phone: 417-887-1965 Fax: 417-887-6499 | |
| Dr. James A. Gessler, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9393 Fax: 417-820-9725 | |
| Dr. Shachar Tauber, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1229 E Seminole St, Springfield, MO 65804 Phone: 417-820-9393 Fax: 417-820-9725 | |
| Dr. Brendon Delport, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4003 Fax: 417-875-4782 |