Cade John Kowallis, OD in Nixa, MO - Medicare Optometry Provider

Cade John Kowallis, OD is a medicare enrolled "Optometrist" provider in Nixa, Missouri. He went to Southern College Of Optometry and graduated in 2015 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Roosevelt Vision Clinic Pc and his current practice location is 220 N Massey Blvd, Nixa, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 604-0188.

Cade John Kowallis is licensed to practice in Missouri (license number 2025037197) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952781262.

Contact Information

	Cade John Kowallis, OD
	220 N Massey Blvd, Nixa, MO 65714-8324
	(417) 604-0188
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cade John Kowallis
Gender	Male
Speciality	Optometry
Experience	11 Years
Location	220 N Massey Blvd, Nixa, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cade John Kowallis attended and graduated from Southern College Of Optometry in 2015

NPI Data:

NPI Number: 1952781262
Provider Enumeration Date: 06/02/2015
Last Update Date: 03/04/2026

Medicare PECOS Information:

PECOS PAC ID: 5799097747
Enrollment ID: I20150702002185

Medical Identifiers

Medical identifiers for Cade John Kowallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952781262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2025037197 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roosevelt Vision Clinic Pc	9830269844	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cade John Kowallis allows following entities to bill medicare on his behalf.

Provider Name	Roosevelt Vision Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710973052 PECOS PAC ID: 9830269844 Enrollment ID: O20080603000410

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. Cade John Kowallis 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 Address	Practice Location Address
Cade John Kowallis, OD 220 N Massey Blvd, Nixa, MO 65714-8324 Ph: (417) 604-0188	Cade John Kowallis, OD 220 N Massey Blvd, Nixa, MO 65714-8324 Ph: (417) 604-0188

Reviews and Comments

Optometrist in Nixa, MO

Dr. Thomas E Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 940 W Mount Vernon St, Suite 120, Nixa, MO 65714 Phone: 417-724-5335 Fax: 417-724-5333
Rejuvenate Light And Vision Center Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 N Massey Blvd, Nixa, MO 65714 Phone: 417-374-1088
Ladona Jean Wilson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1102 N Massey Blvd, Nixa, MO 65714 Phone: 417-724-1301
Dr. Daniel Austin Boone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 Village Center St, Nixa, MO 65714 Phone: 417-725-0000 Fax: 417-725-0001
Mercy Clinic-springfield Communities Optometrist Medicare: Medicare Enrolled Practice Location: 940 W Mount Vernon St, Suite 120, Nixa, MO 65714 Phone: 417-724-5335 Fax: 417-724-5333
Daniel E Boone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 Village Center St, Nixa, MO 65714 Phone: 417-725-0000 Fax: 417-725-0002
Daniel E Boone Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 107 Village Center St, Nixa, MO 65714 Phone: 417-725-0000 Fax: 417-725-0002

Cade John Kowallis, OD - Medicare Optometrist in Nixa, MO