INTERNATIONAL EYECARE CENTER, INC (NPI# 1750568796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750568796 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL EYECARE CENTER, INC |
| Practice Address |
520 W Jackson St Mexico MO 65265-1937 |
| Practice Telephone | 5735817007 |
| Mailing Telephone | 5735817007 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | CATHY LEE SHORT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235455320 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 1877a N Bluff St, Fulton, MO 65251-2465 | 2010-04-14 |
| 1982882981 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 1233 W Morton Ave Ste C, Jacksonville, IL 62650-2774 | 2008-02-01 |
| 1598188856 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 619 10th St, Fort Madison, IA 52627-2831 | 2014-01-22 |
| 1417135419 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 201 N Madison St, Pittsfield, IL 62363-1447 | 2008-02-01 |
| 1013194067 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 1702 N Baltimore St, Kirksville, MO 63501-2485 | 2008-01-22 |
| 1124205166 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 215 Progress Rd, Hannibal, MO 63401-6637 | 2008-01-22 |
| 1760405047 | International Eyecare Center, Inc | Optometrist | 2445 Broadway St, Quincy, IL 62301-3257 | 2006-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INTERNATIONAL EYECARE CENTER, INC. | 4835 Lbj Fwy. Ste 850, Dallas, TX 75244 |
| Street Address |
520 W JACKSON ST |
| City | MEXICO |
| State | MO |
| Zip Code | 65265-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477761492 | Jeffrey Michael Couch | Specialist | 520 W Jackson St, Mexico, MO 65265-1937 | 2007-05-21 |
| 1558777656 | Michael John Benedict | Optometrist | 520 W Jackson St, Mexico, MO 65265-1937 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1407044548 | Missouri Central Physical Therapy, LLC | Specialist | 2759 A South Clark, Mexico, MO 65265 | 2007-10-12 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| Find all providers in zip 65265 | ||||
| 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 |
|---|---|---|---|---|
| 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.