DR. ANGEL KEITH RIVERA (NPI# 1982972063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982972063 |
| Entity Type | Individual |
| Full Name | DR. ANGEL KEITH RIVERA |
| Credential | OD |
| Practice Address |
1310 Preacher Roe Blvd # Hgw West Plains MO 65775-2938 |
| Mailing Address |
Po Box 1701 West Plains MO 65775-7001 |
| Practice Telephone | 7875105403 |
| Mailing Telephone | 7875105403 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2011037045 | MO | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222392 | Angel Ivan Rivera | Dentist | 2780 Highway 365 Ste C, Port Arthur, TX 77640-2191 | 2020-07-22 |
| 1023553476 | Angel Rivera | Massage Therapist | 241 North Dr, Saugerties, NY 12477-4725 | 2016-12-21 |
| 1104201425 | Angel Rivera | Registered Nurse | 8 Calle Ramon Soto Valentin, Urb Los Rodriguez Bo Puente, Camuy, PR 00627 | 2015-07-28 |
| 1376962720 | Angel Rivera | Contractor | 101 Brook Hollow Ct, Cary, NC 27513-4932 | 2014-04-14 |
| 1740520170 | Angel Manuel Rivera | Chiropractor | 85 Calle Ucar, Los Caminos, San Lorenzo, PR 00754-9972 | 2013-02-21 |
| 1942325352 | Angel J Rivera | Dentist | 44 Calle Juan C Borbon, Box 630, Guaynabo, PR 00969-5378 | 2007-03-21 |
| 1073657995 | Angel L. Rivera | Specialist | 1751 Calle Alcala, Urb. College Park, San Juan, PR 00921-4335 | 2007-02-16 |
| 1023195245 | Angel Manuel Rivera | Allergy & Immunology | 553 Cabo Alverio St Ext Roosevelt, Hato Rey, PR 00918-3725 | 2006-11-01 |
| 1649289398 | Angel L Rivera | Internal Medicine | Suite 205 Hospital Metropolitano, Carretera 21 #1785, San Juan, PR 00921 | 2006-08-05 |
| 1831128347 | Angel M. Rivera | Counselor | 922 N Krome Ave, Homestead, FL 33030-4409 | 2006-06-30 |
| Street Address |
1310 PREACHER ROE BLVD # HGW |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831455179 | Rivera Optometric Group P.C. | Optometrist | 1310 Preacher Roe Blvd # Hgw, West Plains, MO 65775-2938 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| 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 |
|---|---|---|---|---|
| 1932328994 | Julie A Hart | Optometrist | 808 N Kentucky Ave, West Plains, MO 65775-2023 | 2007-04-25 |
| 1841302569 | Stacy L Orear | Optometrist | 1310 Preacher Roe Blvd, West Plains, MO 65775-2938 | 2006-08-31 |
| 1427078971 | Anne C. Ream Optometry, PC | Optometrist | 760 Kentucky St, West Plains, MO 65775-2013 | 2006-07-20 |
| 1083649313 | Knial Richard Piper | Optometrist | 1713 Gibson St, West Plains, MO 65775-1815 | 2006-07-12 |
| 1194705541 | Anne C Ream | Optometrist | 760 N Kentucky St, West Plains, MO 65775-2013 | 2006-01-20 |
| 1831455179 | Rivera Optometric Group P.C. | Optometrist | 1310 Preacher Roe Blvd # Hgw, West Plains, MO 65775-2938 | 2012-04-10 |
| 1588993661 | Orear Optometry P C | Optometrist | 1310 Preacher Roe Blvd, West Plains, MO 65775-2938 | 2009-12-18 |
| 1548421373 | Jason Rose | Optometrist | 1713 Gibson St, West Plains, MO 65775-1815 | 2008-06-24 |
| 1689789570 | Rose Vision Care LLC | Optometrist | 1713 Gibson St, West Plains, MO 65775-1815 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.