CARTHAGE VISION CLINIC LLC


Address: 2020 S Garrison Ave, Carthage, MO 64836-3687
Phone: 4173590600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist T03101 MO Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MEDICARE PTAN MA5504 01
MO DMERC NORIDIAN PTAN 7473660001 01
MO RAILROAD MEDICARE PTAN DV9359 01

Office Location

Street Address 2020 S GARRISON AVE
City CARTHAGE
State MO
Zip Code 64836-3687

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1477098531 Grace Theios, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6031 County Road 105, Carthage, MO 64836 2016-12-28
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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
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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City CARTHAGE
Zip Code 64836

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Dataset Information

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.

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