| 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 |