MARYVILLE FAMILY EYE CLINIC,LLC (NPI# 1124434592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124434592 |
| Entity Type | Organization |
| Organization Name | MARYVILLE FAMILY EYE CLINIC,LLC |
| Other Organization Name | FAMILY EYE CLINIC |
| Practice Address |
503 S Main St Maryville MO 64468-2444 |
| Practice Telephone | 9139536049 |
| Mailing Telephone | 9139536049 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | MRS. KORRIE S SOWARDS (OPERATING MANAGER/ OWNER) |
| Authorized Official Telephone | 9139536049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Family Eye Clinic | Doing Business As Name - Organization |
| Street Address |
503 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346211885 | Harold L Poynter Od Hl Poynter Od Paul R Poynter Od Optometry Inc | Optometrist | 503 S Main St, Maryville, MO 64468-2444 | 2006-02-01 |
| 1528440591 | Drew Garwood | Optometrist | 503 S Main St, Maryville, MO 64468-2444 | 2015-06-25 |
| 1205961539 | Harold Lee Poynter IIi | Optometrist | 503 S Main St, Maryville, MO 64468-2444 | 2007-02-23 |
| 1013096452 | Paul Richard Poynter | Optometrist | 503 S Main St, Maryville, MO 64468-2444 | 2006-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639292527 | Sudarsan Chavala | Eyewear Supplier (Equipment, not the service) | 2024 S Main St, Maryville, MO 64468-2655 | 2007-04-07 |
| 1396819694 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 800 Watkins Rd, Maryville, TN 37801-4597 | 2006-11-20 |
| 1073524096 | University Eye Specialists, PC | Eyewear Supplier (Equipment, not the service) | 622 Smithview Dr, Maryville, TN 37803-6100 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
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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.