RALPH MELVIN BUTLER (NPI# 1184759284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184759284 |
| Entity Type | Individual |
| Full Name | RALPH MELVIN BUTLER |
| Credential | O.D. |
| Practice Address |
401 Supercenter Dr Walmart Vision Center Jefferson City MO 65101-8190 |
| Mailing Address |
1903 Brady Dr Jefferson City MO 65101-5595 |
| Practice Telephone | 5736353899 |
| Practice Fax Number | 5736357255 |
| Mailing Telephone | 5736326946 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
T02286 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831163104 | Ralph Elbert Butler | Surgery | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-02-14 |
| Street Address |
401 SUPERCENTER DR WALMART VISION CENTER |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-8190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800719 | Taylor Nicole Tuepker | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-29 |
| 1023618501 | Bryan Karl Johnson | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-26 |
| 1871193359 | Madeline Laura Irene Leal | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-26 |
| 1275901894 | Andrea Barnes-peppard | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-09-14 |
| 1447627336 | Justin Gourley | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-08-26 |
| 1881061836 | Katherine L Froning | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-08-25 |
| 1508250796 | Jill Nitz | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2015-03-25 |
| 1861626772 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2009-05-06 |
| 1205079100 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679903330 | Bodenhamer Eye Consultants, LLC | Optometrist | 3238 W Truman Blvd, Upper Level, Jefferson City, MO 65109-5708 | 2013-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508086166 | Marlin B Neil | Optometrist | 12312 Olive Blvd Ste 150, Saint Louis, MO 63141-5468 | 2007-04-26 |
| 1114056231 | Kevin Greeley Lydon | Optometrist | 6764 Mexico Rd, Saint Peters, MO 63376-1505 | 2007-03-05 |
| 1972645919 | Thomas Stanley Sandler | Optometrist | Jc Penney Optical, 4 Mid Rivers Mall Drive, St. Peters, MO 63376 | 2007-02-13 |
| 1811039910 | Rick Jon Unsell | Optometrist | 7436 Nw River Park Dr, Parkville, MO 64152-5028 | 2007-02-13 |
| 1659421303 | Ira Nathan Ettinger | Optometrist | 1701 Aroy Dr., Washington, MO 63090 | 2007-01-12 |
| 1588722748 | Morio Miyamoto | Optometrist | 720 Olive St, Suite 420, Saint Louis, MO 63101-2338 | 2006-12-04 |
| 1578649547 | Lawrence Allen Aurich | Optometrist | 12420 So. 71 Highway, Grandview, MO 64030 | 2006-10-31 |
| 1093823924 | Jeffrey Donald Laferla | Optometrist | 8301 N Congress Ave, Kansas City, MO 64152-2041 | 2006-08-29 |
| 1356454060 | Frank Joseph Bier | Optometrist | 14037 Manchester Rd, Manchester, MO 63011-4513 | 2006-08-16 |
| 1548206576 | William H Gosnell | Optometrist | 17950 E 39th St S, Independence, MO 64055-3850 | 2006-06-20 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
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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.