TRI LAKES EYE CENTER
NPI 1497760854
Ophthalmology in Branson, MO

NPI Status: Active since July 31, 2006

Contact Information

915 STATE HIGHWAY 248
SUITE A
BRANSON, MO
ZIP 65616
Phone: (417) 334-0044
Fax: (417) 334-0046

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  • Organization
  • Ophthalmology
  • CLIA Number: 26D2056538
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-27-2027

About TRI LAKES EYE CENTER

This page provides the complete NPI Profile along with additional information for Tri Lakes Eye Center, a provider established in Branson, Missouri operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1497760854 assigned on July 2006. The practitioner's primary taxonomy code is 207W00000X with license number R6C05 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. Tri Lakes Eye Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Tri Lakes Eye Center. The authorized official of this NPI record is Tracy R Ford (Insurance/billing Coordinator)

NPI
1497760854
Provider Legal Name
TRI LAKES MEDICAL AND SURGICAL EYE CLINIC, INC.
Other Organization Name
TRI LAKES EYE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
915 STATE HIGHWAY 248 SUITE A BRANSON, MO 65616
Location Phone
(417) 334-0044
Location Fax
(417) 334-0046
Mailing Address
915 STATE HIGHWAY 248 SUITE A BRANSON, MO 65616
Mailing Phone
(417) 334-0044
Mailing Fax
(417) 334-0046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2006
Last Update Date
12-03-2013
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Ophthalmologists like Tri Lakes Eye Center specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
R6C05
License State
MO
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

 
2152WC0802XEye and Vision Services Providers

Optometrist
Corneal and Contact Management

 
3152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY R FORD

Authorized Official Title
INSURANCE/BILLING COORDINATOR
Authorized Official Phone
(417) 334-0044

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
325133601MEDICAID (05)MO 
CN6456MEDICARE ID-TYPE UNSPECIFIED (04)MORAILROAD MEDICARE
990001446MEDICARE ID-TYPE UNSPECIFIED (04)MO 
3906240002MEDICARE NSC (07)MO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2056538
Facility Type
Physician Office
Certificate Effective Date
March 28, 2025
Certificate Expiration Date
March 27, 2027
Laboratory Director
RICE STEPHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri Lakes Eye Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TRI LAKES EYE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497760854
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871460810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 6 + 0 + 8 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1497760854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013952357DR. CHRIS R REEVES DO
Individual
Orthopaedic Surgery915 STATE HIGHWAY 248 SUITE B
BRANSON, MO 65616
(417) 339-2000
1093822637MR. WAYNE E BERKBIGLER CRNA
Individual
Nurse Anesthetist, Certified Registered915 STATE HIGHWAY 248 SUITE B
BRANSON, MO 65616
(417) 335-8572
1891801411TRI-LAKES ANESTHESIA, LLC
Organization
Anesthesiology915 STATE HIGHWAY 248 SUITE B
BRANSON, MO 65616
(417) 335-8572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497760854, enumerated in the NPI registry as an "organization" on July 31, 2006

The provider is located at 915 State Highway 248 Suite A Branson, Mo 65616 and the phone number is (417) 334-0044

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 26D2056538 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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