COLUMBIA EYEWEAR


Address: 500 Keene Street, Suite 103, Columbia, MO 65201
Phone: 5738742030

COLUMBIA EYEWEAR (NPI# 1720134513) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO BLUE CROSS 107546 01

Office Location

Street Address 500 KEENE STREET, SUITE 103
City COLUMBIA
State MO
Zip Code 65201

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NPI Name Taxonomy Address Enumeration
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1144724238 Angela Marie Richmond Internal Medicine 1 Hospital Dr Rm Ma423, Columbia, MO 65201 2018-03-22
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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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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City COLUMBIA
Zip Code 65201

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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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