CARTHAGE VISION CLINIC LLC (NPI# 1487047536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487047536 |
| Entity Type | Organization |
| Organization Name | CARTHAGE VISION CLINIC LLC |
| Practice Address |
2020 S Garrison Ave Carthage MO 64836-3687 |
| Practice Telephone | 4173590600 |
| Practice Fax Number | 4173590601 |
| Mailing Telephone | 4173590600 |
| Mailing Fax Number | 4173590601 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | DR. GREGORY JOSEPH GOETZINGER (MEMBER) |
| Authorized Official Telephone | 4173590600 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T03101 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | MA5504 | 01 |
| MO | DMERC NORIDIAN PTAN | 7473660001 | 01 |
| MO | RAILROAD MEDICARE PTAN | DV9359 | 01 |
| Street Address |
2020 S GARRISON AVE |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-3687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| 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 |
|---|---|---|---|---|
| 1154974509 | Shawn Douglas Westbrook | Optometrist | 102 S Gaston St Apt 12, Carthage, TX 75633-2858 | 2019-07-24 |
| 1407385701 | Shelby Nicole Baugh Bruner | Optometrist | 2020 S Garrison Ave Ste A, Carthage, MO 64836-3688 | 2017-06-08 |
| 1639528912 | Minhthu Nguyen | Optometrist | 201 Highway 16 E, Carthage, MS 39051-4203 | 2016-06-08 |
| 1265748354 | Superior Performance Eye Care Specialst | Optometrist | 514 Wabash Ave, Carthage, IL 62321-1360 | 2010-08-26 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1407942741 | Ben B Donald II | Optometrist | 403 N Adams St, Carthage, TX 75633-1311 | 2006-10-05 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1104937556 | Neil Simmons | Optometrist | 110 N Van Buren St, Carthage, MS 39051-4126 | 2006-08-31 |
| 1689681652 | Susan C Beachler | Optometrist | 101 Monroe Pl, Carthage, NC 28327-9784 | 2006-08-02 |
| 1013940477 | Gregory J. Goetzinger | Optometrist | 215 E 3rd St, Carthage, MO 64836-1661 | 2006-07-09 |
| Find all providers in CARTHAGE | ||||
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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.