EYECARE SPECIALTIES OF MISSOURI LLC (NPI# 1053482711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053482711 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALTIES OF MISSOURI LLC |
| Other Organization Name | EYECARE SPECIALTIES |
| Practice Address |
3403 W 10th St Sedalia MO 65301-2112 |
| Mailing Address |
601 E Russell Ave Suite A Warrensburg MO 64093-9605 |
| Practice Telephone | 6608266161 |
| Practice Fax Number | 6608268197 |
| Mailing Telephone | 6607472020 |
| Mailing Fax Number | 6607470574 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | BRETT H LIESEMEYER (OWNER) |
| Authorized Official Telephone | 6608266161 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02629 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 312338908 | 05 |
| Other Name | Type Code |
|---|---|
| Eyecare Specialties | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720453251 | Eyecare Specialties of Missouri LLC | Optometrist | 1652 Se Blue Parkway, Lees Summit, MO 64063-3191 | 2015-12-09 |
| 1730596248 | Eyecare Specialties of Missouri LLC | Optometrist | 601 E Russell Ave, Suite A, Warrensburg, MO 64093-9605 | 2014-07-16 |
| 1053427435 | Eyecare Specialties of Missouri LLC | Optometrist | 1104 E Ohio St, Clinton, MO 64735-2458 | 2006-08-21 |
| Street Address |
3403 W 10TH ST |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760482285 | John Edward Drenon | Optometrist | 3403 W 10th St, Sedalia, MO 65301-2112 | 2005-07-27 |
| 1225117518 | Brett H Liesemeyer | Optometrist | 3403 W 10th St, Sedalia, MO 65301-2112 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497249429 | Andrew R Yeager | Optometrist | 31995 Highway U, Sedalia, MO 65301-0831 | 2018-06-22 |
| 1720229255 | Sedalia Optometric Clinic, Inc | Optometrist | 211 S Ohio Ave, Sedalia, MO 65301-4331 | 2009-03-12 |
| 1679631808 | Rose Marie Drake | Optometrist | 1400 S Limit Ave, Space 75 State Fair Shopping Center, Sedalia, MO 65301-5116 | 2006-12-04 |
| 1205820156 | Barbara Louise Knight | Optometrist | 316 W 4th St, Sedalia, MO 65301-4245 | 2005-09-07 |
| 1760482285 | John Edward Drenon | Optometrist | 3403 W 10th St, Sedalia, MO 65301-2112 | 2005-07-27 |
| 1912902644 | Michelle Ann Kindler | Optometrist | 3400 W 10th St, Sedalia, MO 65301-2198 | 2005-06-17 |
| 1326043787 | Kevin Kyle Edward Carl | Optometrist | 1200 Winchester Dr, Sedalia, MO 65301-2467 | 2005-06-14 |
| 1932330529 | Eye Clinic LLC | Optometrist | 1200 Winchester Dr, Sedalia, MO 65301-2467 | 2009-07-31 |
| 1720274004 | Nelson Eyecare Inc. | Optometrist | 3201 W Broadway Blvd, Sedalia, MO 65301-2118 | 2007-09-19 |
| 1285794396 | Deanna Lynn Nelson | Optometrist | 1400 S Limit Ave, Space 75 State Fair Shopping Center, Sedalia, MO 65301-5116 | 2006-12-11 |
| Find all providers in SEDALIA | ||||
Please comment or provide details below to improve the information on EYECARE SPECIALTIES OF MISSOURI LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.