COLLINS EYE CLINIC, L.L.C. (NPI# 1821101189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821101189 |
| Entity Type | Organization |
| Organization Name | COLLINS EYE CLINIC, L.L.C. |
| Practice Address |
1342 E Primrose St Suite B Springfield MO 65804-4279 |
| Practice Telephone | 4178693200 |
| Practice Fax Number | 4178693212 |
| Mailing Telephone | 4178693200 |
| Mailing Fax Number | 4178693212 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | DEANN R EDELSTEIN (PRACTICE MANAGER) |
| Authorized Official Telephone | 4178693200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 114662 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169437002 | 05 | |
| MO | 203814702 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 W Us Highway 60 Ste 3, Mountain View, MO 655488542 | 4178693200 | 4178693212 |
| 1605 Martin Springs Dr Ste 240, Rolla, MO 654012980 | 4178693200 | 4178693212 |
| 211 Carter St, Berryville, AR 726164303 | 4178693200 | 4178693212 |
| Street Address |
1342 E PRIMROSE ST SUITE B |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532283 | Edward Gwin | Internal Medicine | 1342 E Primrose St, Springfield, MO 65804-4279 | 2006-06-05 |
| 1558770388 | Ashlee Callahan | Physical Therapist | 1342 E Primrose St, Springfield, MO 65804-4279 | 2014-08-06 |
| 1700295532 | William Callahan | Physical Therapist | 1342 E Primrose St, Suite A, Springfield, MO 65804-4279 | 2014-08-06 |
| 1982026084 | Kelli Christine Crosson | Nurse Practitioner | 1342 E Primrose St, Springfield, MO 65804-4279 | 2014-01-09 |
| 1639359250 | Edward Gwin M.d., LLC | Clinic/Center | 1342 E Primrose St, Springfield, MO 65804-4279 | 2007-11-12 |
| 1356541817 | Jill R. Reavis | Acupuncturist | 1342 E Primrose St, Suite A, Springfield, MO 65804-4279 | 2007-07-23 |
| 1497978431 | Terry Cox | Physical Therapist | 1342 E Primrose St, Suite A, Springfield, MO 65804-4224 | 2007-04-10 |
| 1982724787 | Eric Wayne Reavis | Chiropractor | 1342 E Primrose St, Suite A, Springfield, MO 65804-4279 | 2007-03-29 |
| 1043220874 | Warren Patrick Collins | Ophthalmology | 1342 E Primrose St, Suite B, Springfield, MO 65804-4279 | 2006-08-08 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310392 | Lucas Lenci | Ophthalmology | 1531 E Bradford Pkwy Ste 100, Springfield, MO 65804-6539 | 2014-06-03 |
| 1417375577 | Shilpa Gulati | Ophthalmology | 3640 Main St Ste 201, Springfield, MA 01107-1139 | 2014-04-04 |
| 1285900423 | Ashley Abraham | Ophthalmology | 400 N 9th St Fl 3, Springfield, IL 62702-5310 | 2012-03-30 |
| 1891072963 | Roger Bruce Schlemmer | Ophthalmology | 2733 East Battlefield Rd., #106, Springfield, MO 65804-3981 | 2011-11-03 |
| 1881905602 | An Thien Vo | Ophthalmology | 100 W Sproul Rd Ste 100, Springfield, PA 19064-2033 | 2010-06-25 |
| 1033433925 | Jessica Eva Van Looveren | Ophthalmology | 8136 Old Keene Mill Rd Ste 300b300, Springfield, VA 22152-1850 | 2010-03-21 |
| 1427212737 | Sarah Anne Hanson | Ophthalmology | 3640 Main St Ste 205, Springfield, MA 01107-1139 | 2008-07-16 |
| 1588824221 | Adam Avery Carver | Ophthalmology | 1229 E Seminole St Ste 420, Springfield, MO 65804-2227 | 2008-06-16 |
| 1689840803 | Marissa Lynn Albano | Ophthalmology | 8136 Old Keene Mill Rd Ste 300, Springfield, VA 22152-1850 | 2008-05-07 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.