DR. LISA M NUTT (NPI# 1780724138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780724138 |
| Entity Type | Individual |
| Full Name | DR. LISA M NUTT |
| Credential | O.D. |
| Practice Address |
6000 N Oak Trfy Ste 101 Gladstone MO 64118-5176 |
| Practice Telephone | 8164541030 |
| Mailing Telephone | 8164541030 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2002014342 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 30976011 | 01 |
| MO | TAX ID | 431447951 | 01 |
| MO | 315972109 | 05 | |
| MO | RAILROAD MEDICARE | 410039208 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861734329 | Lisa Cole Nutt | Nurse Practitioner | 608 N Broad St, Suite 100, Woodbury, NJ 08096-1794 | 2013-03-22 |
| Street Address |
6000 N OAK TRFY STE 101 |
| City | GLADSTONE |
| State | MO |
| Zip Code | 64118-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538209960 | Stuart P Anderson | Optometrist | 6000 N Oak Trfy Ste 101, Gladstone, MO 64118-5176 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
| 1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
| 1376870865 | Summit Behavioral Services, LLC | Community/Behavioral Health | 1460 Nw Vivion Rd, Kansas City, MO 64118 | 2009-11-04 |
| Find all providers in zip 64118 | ||||
| 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 |
|---|---|---|---|---|
| 1245769801 | Alyssa Baily Sherwood | Optometrist | 5769 Ne Antioch Rd, Gladstone, MO 64119-2017 | 2017-06-07 |
| 1346492865 | Bennett Eyecare Midwest, LLC | Optometrist | 6080 N Oak Trwy, Suite 101, Gladstone, MO 64118-5100 | 2008-10-15 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1699805218 | Adonya Blair, O.d., P.C. | Optometrist | 7201 N. M-1 Highway, Gladstone, MO 64119 | 2007-03-06 |
| 1538209960 | Stuart P Anderson | Optometrist | 6000 N Oak Trfy Ste 101, Gladstone, MO 64118-5176 | 2007-02-07 |
| 1922115583 | Shawna D. Heintz | Optometrist | 7201 North M-1 Highway, Gladstone, MO 64119 | 2006-08-23 |
| 1962471474 | James D Rubin | Optometrist | 2920 Ne 60th St, Gladstone, MO 64119-2031 | 2006-03-16 |
| 1316921810 | Jessica M Cameron | Optometrist | 20 S 10th St, Gladstone, MI 49837-1526 | 2005-11-30 |
| 1407839756 | David Thomas Tischinski | Optometrist | 6080 N. Oak, Oakview Medical Building, Gladstone, MO 64118 | 2005-11-21 |
| 1306316914 | Viking Vision, Inc. | Optometrist | 5769 Ne Antioch Rd, Gladstone, MO 64119-2017 | 2018-11-27 |
| Find all providers in GLADSTONE | ||||
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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.