DR. JONATHAN FUGATE (NPI# 1083270003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083270003 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN FUGATE |
| Credential | OD |
| Practice Address |
1004 N 18th Ave Ozark MO 65721-9512 |
| Practice Telephone | 4178727002 |
| Mailing Telephone | 4178727002 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002752 | VA | Eye and Vision Services Providers |
| Street Address |
1004 N 18TH AVE |
| City | OZARK |
| State | MO |
| Zip Code | 65721-9512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| 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 |
|---|---|---|---|---|
| 1134356645 | Tammy D. Wallace | Optometrist | 1234 Andrews Ave, Suite E, Ozark, AL 36360-3767 | 2009-06-11 |
| 1811144934 | Roger William Wiley | Optometrist | 578 Andrews Ave., Ozark, AL 36360 | 2008-08-20 |
| 1881761161 | Laura Beth Montgomery | Optometrist | 1423 W State Highway J, Ozark, MO 65721-7473 | 2006-11-29 |
| 1922103308 | Alison Leigh Hood-kirar | Optometrist | 505 N 25th St, Ozark, MO 65721-9069 | 2006-09-13 |
| 1043269509 | Lauri Elizabeth Frazier | Optometrist | 1892 Andrews Ave, Ozark, AL 36360-3724 | 2006-05-10 |
| 1700871035 | Marie Eleanor Batson | Optometrist | 1000 W Jackson St, Ozark, MO 65721-9163 | 2005-09-13 |
| 1669478236 | D & J Optical Inc | Optometrist | 578 Andrews Ave, Ozark, AL 36360-3702 | 2005-06-28 |
| 1952902017 | Eye Care Associates, Inc. | Optometrist | 578 Andrews Ave, Ozark, AL 36360-3702 | 2020-11-05 |
| 1760936264 | Mercy Clinic Springfield Communities | Optometrist | 505 N 25th St, Ozark, MO 65721-9069 | 2016-08-12 |
| 1891145827 | Matthew Hansen | Optometrist | 1106 W Jackson St, Ozark, MO 65721-9164 | 2016-06-21 |
| Find all providers in OZARK | ||||
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| 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.