DR. RANDALL NACKE (NPI# 1093828782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093828782 |
| Entity Type | Individual |
| Full Name | DR. RANDALL NACKE |
| Credential | M.D. |
| Practice Address |
1400 Hwy 61 South Suite 130 Crystal City MO 63019 |
| Mailing Address |
Po Box 13 Crystal City MO 63019 |
| Practice Telephone | 6369378855 |
| Practice Fax Number | 6369316561 |
| Mailing Telephone | 6369378855 |
| Mailing Fax Number | 6369316561 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | TP10024907 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1400 HWY 61 SOUTH SUITE 130 |
| City | CRYSTAL CITY |
| State | MO |
| Zip Code | 63019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201482 | Premiere Eye Associates, P.C. | Optometrist | 1400 Hwy 61 South, Suite 130, Crystal City, MO 63019 | 2006-07-21 |
| 1538482062 | Geoffrey Edward Nelle | Physical Therapist | 1400 Hwy 61 South, Attn: Acute Rehab, Crystal City, MO 63019 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487148532 | Dedicated Home Health Care LLC | Home Health | 810 Burgess Ave, Crystal City, MO 63019 | 2018-06-20 |
| 1063841948 | Mercy Labs Jefferson, LLC | Clinical Medical Laboratory | 1400 Highway 61 South, Crystal City, MO 63019 | 2013-11-01 |
| 1861764342 | Tiffany Nicole Thomas | Counselor | 508 North Truman Blvd, Upper Level J, Crystal City, MO 63019 | 2012-01-31 |
| 1891063772 | Diana Kay Schaffer | Counselor | 400-d South Truman Blvd., Crystal City, MO 63019 | 2011-12-07 |
| 1023265147 | Debra K Gremminger | Nurse Practitioner | 1400 Us Highway 61 South, Crystal City, MO 63019 | 2008-08-20 |
| 1114192978 | Interventional Pain Institute | Anesthesiology | 1479 Hwy 61, Suite D, Crystal City, MO 63019 | 2008-04-23 |
| 1497929830 | Sara M Taylor | Emergency Medicine | 1400 U.S. Hwy 61 S, Crystal City, MO 63019 | 2008-04-16 |
| 1598960965 | Lisa Ann Ramacher | Physical Therapist | 1400 Us Hwy 61 S, Crystal City, MO 63019 | 2007-06-18 |
| 1518086263 | Heart & Vascular Associates, Inc. | Internal Medicine | 170 Industrial Drive, Suite 103, Crystal City, MO 63019 | 2007-03-27 |
| 1215010095 | East Missouri Pharmacy Services, LLC | Pharmacy | 1447 U.S. Highway 61, Suite A, Crystal City, MO 63019 | 2006-10-23 |
| Find all providers in zip 63019 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299578 | Heart of America Eye Care Pa | Ophthalmology | 1147 E North Ave, Belton, MO 64012-5105 | 2020-09-09 |
| 1962020644 | Matthew Theodore Hirabayashi | Ophthalmology | University Hospital One Hospital Dr Dc052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1508484288 | Travis Parker | Ophthalmology | University Hospital One Hospital Drive Dc 052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1003466897 | Mcelhinney Eye Care, Pa | Ophthalmology | 1004 Carondelet Dr Ste 405, Kansas City, MO 64114-4801 | 2019-09-13 |
| 1952965493 | Eric Jiaming Zhang | Ophthalmology | University Hospital One Hospital Dr Dc.052.00, Columbia, MO 65212-0001 | 2019-04-30 |
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1023597127 | Eye Care Pa | Ophthalmology | 1018 W Foxwood Drive, Raymore, MO 64083 | 2018-08-09 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1184038986 | Grace L Paley | Ophthalmology | 621 S New Ballas Rd Ste 5006b, Saint Louis, MO 63141-8270 | 2014-06-19 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL CITY |
| Zip Code | 63019 |
Please comment or provide details below to improve the information on DR. RANDALL NACKE.
| 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.