Provider Demographics
NPI: | 1396810453 |
---|---|
Name: | EYE CONSULTANTS INCORPORATED |
Entity type: | Organization |
Organization Name: | EYE CONSULTANTS INCORPORATED |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CARL |
Authorized Official - Middle Name: | NELSON |
Authorized Official - Last Name: | RINGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 573-334-5265 |
Mailing Address - Street 1: | 64 DOCTORS PARK |
Mailing Address - Street 2: | |
Mailing Address - City: | CAPE GIRARDEAU |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 63703-4928 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 573-334-5265 |
Mailing Address - Fax: | 573-334-3648 |
Practice Address - Street 1: | 64 DOCTORS PARK |
Practice Address - Street 2: | |
Practice Address - City: | CAPE GIRARDEAU |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63703-4928 |
Practice Address - Country: | US |
Practice Address - Phone: | 573-334-5265 |
Practice Address - Fax: | 573-334-3648 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-22 |
Last Update Date: | 2010-08-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 174400000X | Other Service Providers | Specialist | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MO | 180029379 | Other | RAILROAD MEDICARE |
MO | 564370 | Other | BLUE CROSS BLUE SHIELD |
MO | 911 | Other | BLUE CROSS BLUE SHIELD |
MO | 112190 | Other | BLUE CROSS BLUE SHIELD |
MO | 133729 | Other | GROUP HEALTH PLAN |
MO | 2580388 | Other | UNITED HEALTHCARE |
MO | 27949 | Other | GROUP HEALTH PLAN |
MO | 2324214 | Other | UNITED HEALTHCARE |
MO | 285826900 | Other | DEPARTMENT OF LABOR |
MO | 131683 | Other | UNITED HEALTHCARE |
MO | 133468 | Other | UNITED HEALTHCARE |
MO | 146189 | Other | HEALTH ALLIANCE |
MP | 9206 | Other | BLUE CROSS BLUE SHIELD |
MO | P00616320 | Other | RAILROAD MEDICARE |
MO | 105378 | Other | HEALTHLINK |
MO | 59946 | Other | HEALTH ALLIANCE |
MO | 128567 | Other | BLUE CROSS BLUE SHIELD |
MO | 145920 | Other | HEALTH ALLIANCE |
MO | 1610073 | Other | UNITED HEALTHCARE |
MO | 180039851 | Other | RAILROAD MEDICARE |
MO | 27626 | Other | GROUP HEALTH PLAN |
MO | 304905 | Other | GROUP HEALTH PLAN |
MO | 336212 | Other | GROUP HEALTH PLAN |
MO | 21770 | Other | BLUE CROSS BLUE SHIELD |
MO | 332866 | Other | HEALTHLINK |
MO | 334132 | Other | GROUP HEALTH PLAN |
MO | 431539 | Other | HEALTHLINK |
MO | 507464709 | Medicaid | |
MO | P00616321 | Other | RAILROAD MEDICARE |
MO | P8985 | Other | CHAMPUS |
MO | 100807 | Other | HEALTHLINK |
MO | 106713 | Other | BLUE CROSS BLUE SHIELD |
MO | 115157 | Other | HEALTHLINK |
MO | 146185 | Other | HEALTH ALLIANCE |
MO | 167605 | Other | HEALTHLINK |
MO | 180011265 | Other | RAILROAD MEDICARE |
MO | P00616323 | Other | RAILROAD MEDICARE |
MO | P00616323 | Other | RAILROAD MEDICARE |
MP | 9206 | Other | BLUE CROSS BLUE SHIELD |
MO | 564370 | Other | BLUE CROSS BLUE SHIELD |
MO | 131683 | Other | UNITED HEALTHCARE |
MO | 146185 | Other | HEALTH ALLIANCE |
MO | 431539 | Other | HEALTHLINK |
MO | P00616320 | Other | RAILROAD MEDICARE |
MO | 100807 | Other | HEALTHLINK |
MO | 106713 | Other | BLUE CROSS BLUE SHIELD |
MO | 27626 | Other | GROUP HEALTH PLAN |
MO | 332866 | Other | HEALTHLINK |
MO | 507464709 | Medicaid |