DR. MARK VINCENT MADDOX (NPI# 1770611196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770611196 |
| Entity Type | Individual |
| Full Name | DR. MARK VINCENT MADDOX |
| Credential | O.D. |
| Practice Address |
1705 Prospect Dr Macon MO 63552-2602 |
| Mailing Address |
808 Sunset Dr Macon MO 63552-1063 |
| Practice Telephone | 6603855724 |
| Practice Fax Number | 6603853924 |
| Mailing Telephone | 6603853555 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02344 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 195245 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679732432 | Mark Glenn Maddox | Dentist | 18400 Chestnut St, Tuolumne, CA 95379 | 2008-06-06 |
| 1255744124 | Mark Maddox | Internal Medicine | 508 Fulton St, Durham, NC 27705-3875 | 2014-06-08 |
| Street Address |
1705 PROSPECT DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093681 | Vision Care Associates, LLC | Optometrist | 1705 Prospect Dr, Macon, MO 63552-2602 | 2006-10-27 |
| 1982732319 | Craig A Rose | Optometrist | 1705 Prospect Dr, Macon, MO 63552-2602 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| 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 |
|---|---|---|---|---|
| 1487289609 | National Vision Inc | Optometrist | 1401 Gray Hwy Ste 700, Macon, GA 31211-1905 | 2020-03-09 |
| 1649802430 | National Vision Inc | Optometrist | 1625 Bass Rd Ste 270, Macon, GA 31210-6580 | 2020-02-10 |
| 1396229340 | Pamela Denise Earls | Optometrist | 101 Westchester Dr, Macon, GA 31210-7536 | 2018-09-15 |
| 1659780310 | King Family Eye Care,llc | Optometrist | 1005 Underwood Dr, Macon, GA 31210-3332 | 2014-08-07 |
| 1396968566 | Russell Chambless | Optometrist | 3353 Mercer University Dr, Macon, GA 31204-5082 | 2007-04-10 |
| 1700922242 | David K Murnan | Optometrist | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2007-01-30 |
| 1013093681 | Vision Care Associates, LLC | Optometrist | 1705 Prospect Dr, Macon, MO 63552-2602 | 2006-10-27 |
| 1841301686 | William Alan Schobel Sr. | Optometrist | 1376 Gray Highway, Downtown Opticians, Macon, GA 31211 | 2006-08-31 |
| 1063463487 | A Miles and Associates Inc | Optometrist | 3075 Vineville Ave, Macon, GA 31204-2460 | 2006-05-12 |
| 1174573372 | A. D. Miles & Associates, LLC | Optometrist | 4350 Mercer University Dr, Macon, GA 31206-4118 | 2006-05-11 |
| Find all providers in MACON | ||||
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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.