PHYSICIANS OPTICAL SERVICE INC (NPI# 1346412863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346412863 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS OPTICAL SERVICE INC |
| Practice Address |
1705 Christy Dr Ste 103 Jefferson City MO 65101-5195 |
| Practice Telephone | 5736351333 |
| Mailing Telephone | 5736351333 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | MR. ROBERT JOSEPH LOOTENS JR. (OWNER) |
| Authorized Official Telephone | 5376351333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1705 CHRISTY DR STE 103 |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-5195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060704 | Cmmp Surgical Center LLC | Clinic/Center | 1705 Christy Dr, Ste 100, Jefferson City, MO 65101-5195 | 2005-06-01 |
| 1124491345 | Sierra Binkley | Physical Therapist | 1705 Christy Dr, Ste 200, Jefferson City, MO 65101-5195 | 2015-11-10 |
| 1255762852 | Capital Region Medical Center | Family Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2013-12-06 |
| 1063757003 | Jessica Lynn Clark | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2012-12-03 |
| 1073868808 | Central Missouri Diagnostic Services, LLC | Clinical Medical Laboratory | 1705 Christy Dr, Suite 105, Jefferson City, MO 65101-5195 | 2012-07-18 |
| 1780958173 | Capital Region Medical Center | Specialist | 1705 Christy Dr, Suite 215, Jefferson City, MO 65101-5195 | 2012-03-02 |
| 1750691143 | David Cranston | Physical Therapist | 1705 Christy Dr, Ste. 200, Jefferson City, MO 65101-5195 | 2010-10-19 |
| 1023346715 | Elizabeth A Farmer | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2009-11-18 |
| 1508094251 | Donnetta Lynn Wilkerson | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2009-07-01 |
| 1457594814 | Tamara V. Hopkins, M.d., L.L.C. | Internal Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2009-04-15 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134514391 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 849 Stoneridge Pkwy, Jefferson City, MO 65109-5034 | 2015-04-03 |
| 1780081067 | Diversified Mechanical Service Contractors, LLC | Durable Medical Equipment & Medical Supplies | 2401 E Mccarty St, Jefferson City, MO 65101-4421 | 2014-12-02 |
| 1528375508 | Missouri Pharmacist Care Network, LLC | Durable Medical Equipment & Medical Supplies | 211 E Capitol Ave, Jefferson City, MO 65101-3001 | 2010-09-11 |
| 1255660346 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 900 Eastland Dr, Jefferson City, MO 65101-3894 | 2009-12-18 |
| 1740441229 | Provider Plus, Inc. | Durable Medical Equipment & Medical Supplies | 2512 Creek Trail Ct, Jefferson City, MO 65109-9245 | 2008-06-18 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| 1699968750 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 3721 W Truman Blvd, Jefferson City, MO 65109-0536 | 2007-08-22 |
| 1992842058 | Rehab Specialty Medical, Inc. | Durable Medical Equipment & Medical Supplies | 728 Heisinger Rd Unit F, Jefferson City, MO 65109-4791 | 2007-01-30 |
| 1194880708 | Jefferson City Medical Group, P.C. | Durable Medical Equipment & Medical Supplies | 1225 W. Stadium Blvd, Jefferson City, MO 65109 | 2006-12-26 |
| 1497818074 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1507 Odell Ave, Jefferson City, TN 37760-2604 | 2006-12-18 |
| Find all providers in JEFFERSON CITY | ||||
| 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.