Provider Demographics
NPI:1841322708
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 1:707 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-1303
Practice Address - Country:US
Practice Address - Phone:573-334-5265
Practice Address - Fax:573-334-3648
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE CONSULTANTS INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-09
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO180029379OtherRAILROAD MEDICARE
MO911OtherBLUE CROSS BLUE SHIELD
MOP8985OtherCHAMPUS
MO131683OtherUNITED HEALTHCARE
MO1361772OtherUNITED MINE WORKERS
MO27626OtherGROUP HEALTH PLAN
MO27949OtherGROUP HEALTH PLAN
MO106713OtherBLULE SHIELD
MO59946OtherHEALTH ALLIANCE
MO332866OtherHEALTHLINK
MO59946OtherHEALTH ALLIANCE
MO=========OtherHEALTHLINK
MO106713OtherBLULE SHIELD
MO27949OtherGROUP HEALTH PLAN
MO332866OtherHEALTHLINK
MO001013726Medicare PIN