DR. MATTHEW BLAIR MCCOY (NPI# 1063854610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063854610 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BLAIR MCCOY |
| Credential | O.D. |
| Practice Address |
1229 E Seminole St Ste 430 Springfield MO 65804-2227 |
| Practice Telephone | 4178209393 |
| Mailing Telephone | 4178209393 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2018040909 | MO | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1779 | SC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1929DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D17792 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710492376 | Matthew Daniel Mccoy | Nurse Practitioner | 740 S Limestone L543, Lexington, KY 40536-0001 | 2017-12-05 |
| 1043835580 | Matthew K Mccoy | Optometrist | 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376-6416 | 2020-06-10 |
| 1730568320 | Matthew Mccoy | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2015-05-28 |
| 1770989741 | Matthew Mccoy | Counselor | 6303 Osgood Ave N, Stillwater, MN 55082-6101 | 2014-11-18 |
| 1104961390 | Matthew D Mccoy | Family Medicine | 1700 N Marion St, Denver, CO 80218 | 2007-02-21 |
| 1548297534 | Matthew Scott Mccoy | Registered Nurse | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-06-27 |
| 1851332886 | Matthew S Mccoy | Emergency Medicine | 1615 Delaware St, Longview, WA 98632-2310 | 2006-06-09 |
| 1659331759 | Matthew D Mccoy | Pathology | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2006-03-24 |
| 1295794618 | Matthew Chandler Mccoy | Physical Therapist | 8380 Warren Pkwy, Suite 502, Frisco, TX 75034-4198 | 2006-03-23 |
| Street Address |
1229 E SEMINOLE ST STE 430 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295028058 | Ryan Jeffrey Heady | Optometrist | 1229 E Seminole St Ste 430, Springfield, MO 65804-2227 | 2011-05-25 |
| 1932637774 | Jackie Seier | Optometrist | 1229 E Seminole St Ste 430, Springfield, MO 65804-2227 | 2017-05-24 |
| 1922447853 | Erica Embry Ballard | Ophthalmology | 1229 E Seminole St Ste 430, Springfield, MO 65804 | 2013-06-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
| 1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
| 1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
| 1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
| 1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
| 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.