PBR OPTOMETRISTS LTD OF SPRINGFIELD (NPI# 1083769095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083769095 |
| Entity Type | Organization |
| Organization Name | PBR OPTOMETRISTS LTD OF SPRINGFIELD |
| Practice Address |
602 North Jackson Ave Springfield MN 56087-0186 |
| Mailing Address |
602 North Jackson Ave Po Box 186 Springfield MN 56087-0186 |
| Practice Telephone | 5077235115 |
| Practice Fax Number | 5077236480 |
| Mailing Telephone | 5077235115 |
| Mailing Fax Number | 5077236480 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | DR. STEVEN J PETERSON (DIRECT OWNER) |
| Authorized Official Telephone | 5076293230 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE PLUS | 3C276PB | 01 |
| MN | UCARE | 112984 | 01 |
| MN | PREFERRED ONE | 898861020124 | 01 |
| MN | BCBS | 43233PB | 01 |
| BLUECROSS BLUESHIELD | 3C276PB | 01 |
| Street Address |
602 NORTH JACKSON AVE |
| City | SPRINGFIELD |
| State | MN |
| Zip Code | 56087-0186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760824874 | Kristina Rae Carlson | Nurse Practitioner | 625 N. Jackson Avenue, Springfield, MN 56087 | 2013-07-18 |
| 1013027986 | Robert R Belling Jr. | Dentist | 602 N Jackson St, Springfield, MN 56087 | 2006-08-30 |
| 1043288269 | Thomas James Davis | Surgery | 404 W Central St, Springfield, MN 56087 | 2006-03-14 |
| 1518222769 | Daren Randall | Nurse Practitioner | 625 N Jackson Ave, Springfield, MN 56087 | 2012-07-12 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1346318110 | Ind School Dist 85 | Local Education Agency (LEA) | 12 Burns Ave, Springfield, MN 56087-1202 | 2006-12-01 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1043279243 | Bradley Jay Haugo | Chiropractor | 10 N O Connell Ave, Springfield, MN 56087-1308 | 2006-03-17 |
| 1316009681 | Dr Brad Haugo Dc Chtd | Chiropractor | 10 N O Connell Ave, Springfield, MN 56087-1308 | 2006-12-14 |
| 1528436607 | Superior Mobility LLC | Non-emergency Medical Transport (VAN) | 21 N Cass Ave, Springfield, MN 56087-1501 | 2015-09-08 |
| Find all providers in zip 56087 | ||||
| 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 |
|---|---|---|---|---|
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
| 1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
| 1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
| 1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
| 1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 56087 |
Please comment or provide details below to improve the information on PBR OPTOMETRISTS LTD OF SPRINGFIELD.
| 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.