OSAGE EYE CLINIC PC NPI 1104157825

NPI Information

  • NPI: 1104157825
  • Provider Name: OSAGE EYE CLINIC PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 26D2146215
  • Address: 54 HOSPITAL DR
    OSAGE BEACH, MO
    ZIP 65065
  • Phone: (573) 348-8002

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NPI Details

OSAGE EYE CLINIC PC is an ophthalmology in Osage Beach, 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. OSAGE EYE CLINIC PC NPI is 1104157825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

54 HOSPITAL DR
OSAGE BEACH, MO
ZIP 65065-050
Phone: (573) 348-8002
Fax: (573) 348-1622

The provider's authorized official is Timothy D Lischwe .
The authorized official title is Owner and has the following contact phone number (573) 348-8002.

The CLIA number assigned to this NPI record is 26D2146215 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/20/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyR9E24MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A26755MEDICARE UPIN

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: 11/21/2025

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