DR. SHELTON K SAGO (NPI# 1548317035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548317035 |
| Entity Type | Individual |
| Full Name | DR. SHELTON K SAGO |
| Practice Address |
102 Westmount Dr Farmington MO 63640-0829 |
| Mailing Address |
Po Box 829 102 Westmount Dr Farmington MO 63640-0829 |
| Practice Telephone | 5737563170 |
| Practice Fax Number | 5737560173 |
| Mailing Telephone | 5737563170 |
| Mailing Fax Number | 5737560173 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TO2599 | MO | Eye and Vision Services Providers |
| Street Address |
102 WESTMOUNT DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-0829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1689162133 | Daniel & Max LLC | Optometrist | 4906 E Main St, Farmington, NM 87402-8609 | 2018-04-30 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| 1164806782 | Heather Anita Zimmerman | Optometrist | 101 New Meadow Run Drive, Oak Valley Medical and Dental, PC, Farmington, PA 15437-0010 | 2015-07-14 |
| 1134522493 | Amanda Colburn | Optometrist | 113 W. Broadway, Farmington, NM 87401 | 2014-10-01 |
| 1194124453 | Eyedocare,corp | Optometrist | 500 Westfarms Mall, Farmington, CT 06032-2615 | 2014-08-22 |
| 1154762516 | Steven Saramanidis | Optometrist | 2 Horseshoe Ln, Farmington, CT 06032-2106 | 2013-07-15 |
| 1295966927 | Megan Lynn Crowell | Optometrist | 537 W Karsch Blvd, Farmington, MO 63640-3312 | 2009-07-29 |
| 1225203276 | Bob Hollis Lype | Optometrist | 544 Maple Valley Dr, Farmington, MO 63640-1981 | 2008-04-29 |
| 1700075843 | Skyview Eyecare Inc | Optometrist | 3450 E Main St, Farmington, NM 87402-5327 | 2007-10-15 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.