SPRINGFIELD EYE & PLASTIC SURGERY (NPI# 1821201641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821201641 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD EYE & PLASTIC SURGERY |
| Practice Address |
2828 N National Ave Suite E Springfield MO 65803-4306 |
| Mailing Address |
Po Box 70 Ozark MO 65721-0070 |
| Practice Telephone | 4178374238 |
| Practice Fax Number | 4178754728 |
| Mailing Telephone | 4178374238 |
| Mailing Fax Number | 4178754728 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | BRENDON DELPORT (OWNER) |
| Authorized Official Telephone | 4174963664 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2004008249 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209165604 | 05 | |
| RR MEDICARE PTAN | DO5151 | 01 | |
| INDIVIDUAL NPI | 1194721100 | 01 |
| Street Address |
2828 N NATIONAL AVE SUITE E |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721100 | Brendon Delport | Ophthalmology | 2828 N National Ave, Springfield, MO 65803-4306 | 2005-06-23 |
| 1669088746 | Katherine Burley | Social Worker | 2828 N National Ave, Springfield, MO 65803-4306 | 2020-09-23 |
| 1194211037 | Springfield Behavioral Hospital, LLC | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2018-07-03 |
| 1821524034 | Ozarks Community Hospital, Inc. | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-05-08 |
| 1184165490 | Ozarks New Hope | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-03-20 |
| 1598117210 | Blaine Alan Carter | Pharmacist | 2828 N National Ave, Suite A, Springfield, MO 65803-4306 | 2016-07-06 |
| 1326496100 | Sgoh Acquisition, Inc. | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2016-06-02 |
| 1891160826 | Kristin Wargo Roeder | Dietitian, Registered | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-12-02 |
| 1043683659 | Arthur Karl Mcfarland IIi | Pharmacist | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-11-04 |
| 1003282864 | Michelle Spencer | Nurse Practitioner | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| 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 | 65803 |
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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.