COLUMBIA EYEWEAR (NPI# 1720134513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720134513 |
Entity Type | Organization |
Organization Name | COLUMBIA EYEWEAR |
Practice Address |
500 Keene Street, Suite 103 Columbia MO 65201 |
Mailing Address |
500 Keene St Suite 103 Columbia MO 65201-8104 |
Practice Telephone | 5738742030 |
Mailing Telephone | 5738742030 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-11-01 |
Authorized Official Name | MICHAEL L NICHOLS (PARTNER) |
Authorized Official Telephone | 5738742030 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUE CROSS | 107546 | 01 |
Street Address |
500 KEENE STREET, SUITE 103 |
City | COLUMBIA |
State | MO |
Zip Code | 65201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
Find all providers in zip 65201 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
1104274307 | Wal-mart Stores East, Lp | Technician/Technologist | 733 Fashion Drive, Columbia, SC 29229-0000 | 2016-05-27 |
1992947576 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5580 Forest Dr Ste 118, Columbia, SC 29206-5000 | 2009-03-30 |
1942461934 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1201 Grindstone Pkwy Ste 113, Columbia, MO 65201-3741 | 2008-06-23 |
1912182262 | Arama Vision Care | Technician/Technologist | 1823 Shadowood Dr, Columbia, SC 29212-2035 | 2008-01-07 |
1316161797 | Wal-mart Stores, Inc | Technician/Technologist | 1326 Bush River Road, Columbia, SC 29210 | 2007-04-13 |
1720109622 | Sansbury Eye Center | Technician/Technologist | 275 Harbison Blvd Ste T, Columbia, SC 29212-2222 | 2007-04-02 |
1447387048 | Gordon Quatlebaum Scott Jr. | Technician/Technologist | 1812 Washington St, Columbia, SC 29201-3549 | 2007-02-28 |
1407932734 | Wal-mart Stores East, Lp | Technician/Technologist | 3001 W. Broadway, Columbia, MO 65203 | 2006-10-30 |
1417030115 | Wal-mart Stores East, Lp | Technician/Technologist | 1001 Highway 98 E, Columbia, MS 39429-3733 | 2006-10-24 |
Find all providers in COLUMBIA |
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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.