DR. TIMOTHY BUYDOS (NPI# 1184620239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184620239 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY BUYDOS |
| Credential | O.D. |
| Practice Address |
330 W Osage St Pacific MO 63069-1331 |
| Mailing Address |
40 E North St Eureka MO 63025-1205 |
| Practice Telephone | 6362714500 |
| Practice Fax Number | 6362716940 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6369382650 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2009-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2002018403 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 319022604 | 05 | |
| MO | RAILROAD MEDICARE | P00369885 | 01 |
| Street Address |
330 W OSAGE ST |
| City | PACIFIC |
| State | MO |
| Zip Code | 63069-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215980875 | Clarkson Optometry Inc | Optometrist | 330 W Osage St, Pacific, MO 63069-1331 | 2006-05-17 |
| 1326016601 | Cathy L Phillips | Optometrist | 330 W Osage St, Pacific, MO 63069-1331 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884262 | Nicole Lynn Sitton | Occupational Therapist | 315 North 1st Street, Pacific, MO 63069 | 2017-07-25 |
| 1891222022 | Melissa Marie Georgevitch | Chiropractor | 724 W Osage St, Pacific, MO 63069 | 2017-05-18 |
| 1912238254 | Jeannine Lisa Liebmann | Counselor | 791 New Beginnings Dr., Pacific, MO 63069 | 2010-01-27 |
| 1801038724 | Pacific Care Center LLC | Skilled Nursing Facility | 105 South Sixth Street, Pacific, MO 63069 | 2009-03-25 |
| 1649428152 | Evelyn Alice Sdrulla | Physician Assistant | 300 North First St, Premier Medical Associates, Pacific, MO 63069 | 2008-09-09 |
| 1790106011 | Shawna Jo Surman | Nurse Practitioner | 307 Noonan Dr, Pacific, MO 63069 | 2014-01-05 |
| 1619371077 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2120 W Osage St, Pacific, MO 63069-1101 | 2014-10-14 |
| 1568811461 | Crystal Welch | Nurse Practitioner | 2120 W Osage St, Pacific, MO 63069-1101 | 2016-06-10 |
| 1902016959 | Sandra Joy Winder | Social Worker | 160 Western Ave, Pacific, MO 63069-1115 | 2007-05-22 |
| 1649577198 | Jennifer L Schmidt | Nurse Practitioner | 307 Noonan Drive, Pacific, MO 63069-1118 | 2011-02-18 |
| Find all providers in zip 63069 | ||||
| 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 |
|---|---|---|---|---|
| 1215980875 | Clarkson Optometry Inc | Optometrist | 330 W Osage St, Pacific, MO 63069-1331 | 2006-05-17 |
| 1326016601 | Cathy L Phillips | Optometrist | 330 W Osage St, Pacific, MO 63069-1331 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.