DR. MARSHALL VERNON MUNCH (NPI# 1962441220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962441220 |
| Entity Type | Individual |
| Full Name | DR. MARSHALL VERNON MUNCH |
| Credential | O.D. |
| Practice Address |
175 Shinn Ln Hannibal MO 63401 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 5732480008 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T03361 | MO | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
TO3361 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 410045181 | 01 |
| MO | 318910718 | 05 | |
| MO | MEDICARE GROUP NPI | 1245285543 | 01 |
| MO | MEDICARE PTAN FOR QMG | 134570018 | 01 |
| MO | MEDICARE GROUP | 990000642 | 01 |
| MO | RAILROAD MEDICARE GROUP | CI3223 | 01 |
| Street Address |
175 SHINN LN |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883560 | Kent Randall Wolber | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2006-04-28 |
| 1417273749 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2010-04-12 |
| 1861632226 | Hannibal Regional Hospital | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2009-02-25 |
| 1659406072 | Larry Keith Wood | Ophthalmology | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| 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 |
|---|---|---|---|---|
| 1457763658 | Amy J. Knickerbocker, LLC | Optometrist | 7 Oak Ridge Pond Rd, Hannibal, MO 63401-6539 | 2014-05-22 |
| 1578517306 | Amy Joanne Knickerbocker | Optometrist | 3650 Stardust Drive, Hannibal, MO 63401 | 2006-05-19 |
| 1013966076 | Kenneth R Mueller | Optometrist | 215 Progress Rd, Hannibal, MO 63401-6637 | 2006-05-08 |
| 1104883560 | Kent Randall Wolber | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2006-04-28 |
| 1548232481 | Matthew Joseph Bowman | Optometrist | 3201 Highway 61, Hannibal, MO 63401-6578 | 2006-02-05 |
| 1356687412 | Elizabeth Marie Monroe | Optometrist | 215 Progress Rd, Hannibal, MO 63401-6637 | 2012-12-18 |
| 1861632226 | Hannibal Regional Hospital | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2009-02-25 |
| 1043485949 | Paul Tracy Od | Optometrist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2008-04-23 |
| 1881606200 | Cathryn Lorraine Ahearn | Optometrist | 100 Medical Dr, Hannibal, MO 63401-6877 | 2006-08-13 |
| 1275505117 | Mjb Optical, Inc. | Optometrist | 3201 Highway 61, Hannibal, MO 63401-6578 | 2006-02-05 |
| Find all providers in HANNIBAL | ||||
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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.