INTERNATIONAL EYECARE CENTER, INC. (NPI# 1215378963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215378963 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL EYECARE CENTER, INC. |
| Other Organization Name | MAIN STREET EYE CLINIC-A DIVISION OF IEC |
| Practice Address |
3201 Highway 61 Suite A Hannibal MO 63401-6578 |
| Practice Telephone | 5732483937 |
| Practice Fax Number | 5732214393 |
| Mailing Telephone | 5732483937 |
| Mailing Fax Number | 5732214393 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | TERESA D CARTER (PRESIDENT) |
| Authorized Official Telephone | 2172229207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1760405047 | 05 |
| Other Name | Type Code |
|---|---|
| Main Street Eye Clinic-a division of IEC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895621 | International Eyecare Center, Inc. | Optometrist | 16016 Evans St Ste 101, Omaha, NE 68116-6457 | 2019-01-17 |
| 1376542787 | International Eyecare Center, Inc. | Optometrist | 409 N 78th St, Omaha, NE 68114-3638 | 2005-07-18 |
| 1467738724 | International Eyecare Center, Inc. | Eyewear Supplier (Equipment, not the service) | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2011-10-31 |
| 1740461979 | International Eyecare Center, Inc. | Optometrist | 8102 S 84th St, Lavista, NE 68128-3305 | 2007-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INTERNATIONAL EYECARE CENTER, INC. | 4835 Lbj Fwy. Ste 850, Dallas, TX 75244 |
| Street Address |
3201 HIGHWAY 61 SUITE A |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548232481 | Matthew Joseph Bowman | Optometrist | 3201 Highway 61, Hannibal, MO 63401-6578 | 2006-02-05 |
| 1275505117 | Mjb Optical, Inc. | Optometrist | 3201 Highway 61, Hannibal, MO 63401-6578 | 2006-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740480631 | Essilor Laboratories of America | Eyewear Supplier (Equipment, not the service) | 900 Lyon St, Hannibal, MO 63401-4233 | 2007-07-19 |
| 1194893123 | Northport Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 3 Northport Plz, Hannibal, MO 63401-2269 | 2006-11-30 |
| 1871892158 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-03-25 |
| 1417273749 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2010-04-12 |
| 1124205166 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 215 Progress Rd, Hannibal, MO 63401-6637 | 2008-01-22 |
| 1730372087 | Hannibal Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 413 Broadway, Hannibal, MO 63401-4407 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| 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.