| Missouri Eye Institute Llc | |
| 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 | |
| (417) 887-3900 | |
| (417) 887-3221 | 
| Full Name | Missouri Eye Institute Llc | 
|---|---|
| Type | Facility | 
| Speciality | Ophthalmology | 
| Location | 1531 E Bradford Pkwy, Springfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144277252 | NPI | - | NPPES | 
| 1144277252 | Other | MO | NPI | 
| CJ4614 | Other | MO | MEDICARE RAILROAD GROUP | 
| 508027802 | Medicaid | MO | |
| CJ4613 | Other | MO | MEDICARE RAILROAD GROUP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Bethany J Whitesell | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1861486946 PECOS PAC ID: 3678535358 Enrollment ID: I20041104000007 | 
| Provider Name | Larry W Meyer | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1245226463 PECOS PAC ID: 2961450622 Enrollment ID: I20050110000363 | 
| Provider Name | Chad L Carter | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1255323648 PECOS PAC ID: 5092813451 Enrollment ID: I20070607000613 | 
| Provider Name | Francis C Jansen | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1770578239 PECOS PAC ID: 7618977570 Enrollment ID: I20100217000174 | 
| Provider Name | Daniel R Osborn | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1093701211 PECOS PAC ID: 1557361078 Enrollment ID: I20100607000106 | 
| Provider Name | Michael J Roberts | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1184153793 PECOS PAC ID: 4880964006 Enrollment ID: I20170720003378 | 
| Provider Name | Aubrey L Roberts | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1679002927 PECOS PAC ID: 8820368988 Enrollment ID: I20170721001715 | 
| Provider Name | Brittany L Setzer | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902254063 PECOS PAC ID: 7416214754 Enrollment ID: I20171122000599 | 
| Provider Name | Lucas Theodore Lenci | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1912310392 PECOS PAC ID: 3577856459 Enrollment ID: I20190312001069 | 
| Provider Name | Andrew R Osborn | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1811493729 PECOS PAC ID: 5597010249 Enrollment ID: I20220721001697 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Missouri Eye Institute Llc 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 Ph: (417) 887-3900 | Missouri Eye Institute Llc 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 Ph: (417) 887-3900 |