DR. JUSTIN LEE HART (NPI# 1669491296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669491296 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN LEE HART |
| Credential | O.D. |
| Practice Address |
612 E Elm St Republic MO 65738-1552 |
| Mailing Address |
102 W Loyal Ln Clever MO 65631-9113 |
| Practice Telephone | 4177325575 |
| Mailing Telephone | 4175832138 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2006018212 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942697313 | Justin Wayne Hart | Surgery | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2015-04-22 |
| 1316263353 | Justin P Hart | Radiology | 320 Kennestone Hospital Blvd, Ll 1, Marietta, GA 30060-1161 | 2010-04-15 |
| 1225365117 | Justin Hart | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2009-11-12 |
| Street Address |
612 E ELM ST |
| City | REPUBLIC |
| State | MO |
| Zip Code | 65738-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| 1396854790 | Visionhealth Eye Center | Optometrist | 612 E Elm St, Republic, MO 65738-1552 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1962643338 | Dave Bremer | Physical Therapist | 5030 S Westwood Dr, Republic, MO 65738 | 2009-03-16 |
| 1689704918 | Kevin Edward Medlin | Dentist | 834 S Illinois Ave, Republic, MO 65738 | 2007-03-06 |
| 1437284023 | Teresa Ann Davidson | Occupational Therapist | 1983 S Fr 69, Republic, MO 65738 | 2007-02-22 |
| 1144303363 | Marcia L Preston | Dentist | 604 East Elm, Republic, MO 65738 | 2006-10-23 |
| 1801908355 | David Kent Budd | Dentist | 1093 Us Highway 60 E, Republic, MO 65738 | 2006-08-31 |
| 1124011630 | Jonathan K Armstrong | Chiropractor | 851 S Colorado, Republic, MO 65738 | 2005-08-30 |
| 1861970816 | Matthew Charles Mcnitt | Pharmacist | 1173 E Hines St, Republic, MO 65738 | 2018-08-01 |
| 1952578619 | Access Potential Therapy Services, LLC | Occupational Therapist | 1983 S Fr 69, Republic, MO 65738 | 2008-05-13 |
| Find all providers in zip 65738 | ||||
| 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 |
|---|---|---|---|---|
| 1508964180 | William A Pellow X | Optometrist | 90 N Clark Ave, Unit 3, Republic, WA 99166-5024 | 2006-09-20 |
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| 1396854790 | Visionhealth Eye Center | Optometrist | 612 E Elm St, Republic, MO 65738-1552 | 2006-08-30 |
| 1487664843 | Rachelle Lea Hare | Optometrist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2006-08-09 |
| 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.