MATTAX NEU PRATER EYE CENTER, INC (NPI# 1669692893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669692893 |
| Entity Type | Organization |
| Organization Name | MATTAX NEU PRATER EYE CENTER, INC |
| Practice Address |
1265 E Primrose St Springfield MO 65804-4278 |
| Practice Telephone | 4178863937 |
| Practice Fax Number | 4178861285 |
| Mailing Telephone | 4178863937 |
| Mailing Fax Number | 4178861285 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | JAMES B MATTAX JR. (CORPORATE PRESIDENT) |
| Authorized Official Telephone | 4178863937 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
1265 E PRIMROSE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244779 | James B Mattax Jr. | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804-4278 | 2005-06-13 |
| 1952729600 | Benjamin Haden | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804 | 2014-03-31 |
| 1538328489 | Jacob K. Thomas | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804-4278 | 2008-06-05 |
| 1013978212 | David E Meinhardt | Nurse Anesthetist, Certified Registered | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-29 |
| 1093776098 | Marla C Smith | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-29 |
| 1790745313 | Mattax Neu Prater Eye Center, Inc. | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-27 |
| 1386604908 | Mattax Neu Prater Surgery Center, LLC | Clinic/Center | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-27 |
| 1548239163 | Matthew T Smith | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-16 |
| 1790754109 | Michael S Engleman | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-16 |
| 1043289119 | Thomas G Prater | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| 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 |
|---|---|---|---|---|
| 1174074140 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 101 White Oaks Mall, Springfield, IL 62704-0501 | 2016-10-14 |
| 1063962017 | Hw Holdings | Eyewear Supplier (Equipment, not the service) | 2806 Sw Plaza Dr, Springfield, IL 62704-6743 | 2016-10-13 |
| 1912456898 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1250 Baltimore Pike & Sproul Rd, Springfield, PA 19064-2706 | 2016-10-03 |
| 1518390525 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1006 Baltimore Pike, Store #n-8, Springfield, PA 19064-2836 | 2013-08-13 |
| 1528382256 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 104 White Oaks Mall, Springfield, IL 62704-6946 | 2010-03-24 |
| 1043457542 | Rlw, Inc. | Eyewear Supplier (Equipment, not the service) | 1850 S Glenstone Ave, Springfield, MO 65804-2303 | 2009-01-21 |
| 1285821066 | Vision Service Corporation | Eyewear Supplier (Equipment, not the service) | 2051 N Bechtle Ave Ste 130, Springfield, OH 45504-1583 | 2007-09-26 |
| 1316138266 | Ozarks Optical Laboratories, Inc. | Eyewear Supplier (Equipment, not the service) | 1845 W Arbor Ct, Springfield, MO 65807-5956 | 2007-08-06 |
| 1669663670 | 21st Century Optics Inc. | Eyewear Supplier (Equipment, not the service) | 53 Brown Ave, Springfield, NJ 07081-2901 | 2007-08-05 |
| 1184744310 | Springfield Mall Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6795 Springfield Mall, Springfield, VA 22150-1704 | 2007-03-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on MATTAX NEU PRATER EYE CENTER, INC.
| 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.