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CAPITAL REGION MEDICAL CENTER NPI 1053385096


NPI Information

NPI: 1053385096
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION PHYSICIANS - FAMILY EYE CARE

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-5576
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CAPITAL REGION MEDICAL CENTER is an ophthalmology in Jefferson City, MO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. CAPITAL REGION MEDICAL CENTER NPI is 1053385096. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital Region Physicians - Family Eye Care.

The provider's business location address is:

1432 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-5576
Fax: (573) 632-5860

The provider's authorized official is Tom Luebbering .
The authorized official title is Vp Of Finance and has the following contact phone number (573) 632-5100.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 8/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1506023209MEDICAIDMISSOURI
2CU0751OTHERMISSOURIRR MEDICARE
3000013650MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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