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SJC-LEBANON-OPTOMETRY
NPI 1013130483
Durable Medical Equipment & Medical Supplies in Lebanon, MO

Active since April 11, 2007
331 HOSPITAL DR, SUITE E, LEBANON, MO 65536(417) 533-6540(417) 533-6550 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sjc-lebanon-optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SJC-LEBANON-OPTOMETRY (NPI 1013130483) is a healthcare organization registered as a durable medical equipment & medical supplies in Lebanon, Missouri and active in the NPI registry since April 2007. The organization lists Donn E. Sorensen, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1013130483
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameST JOHNS CLINIC INC
Location Address331 HOSPITAL DR, SUITE ELebanon, MO 65536-9217
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 533-6540
Fax(417) 533-6550
Organization SubpartNo
Authorized OfficialDonn E. SorensenSenior Vice President · (417) 829-4264
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1013130483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
331 HOSPITAL DR, Lebanon, MO 65536
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Other Names 1

Doing Business AsSjc-lebanon-optometry

Other Identifiers 2

Medicare NSC0472580043MO
Medicaid329095806MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY PATRICIA DUNCKEL PT
Physical Therapist
331 HOSPITAL DR, SUITE D
LEBANON, MO 65536
Laclede County (417) 533-6315
RONNA ANN MOORE PTA
Physical Therapy Assistant
331 HOSPITAL DR, SUITE D
LEBANON, MO 65536
Laclede County (417) 533-6315
DR. CURTIS D MATHER DO
Orthopaedic Surgery
331 HOSPITAL DR, SUITE A
LEBANON, MO 65536
Laclede County (417) 533-6560
TIMOTHY CHARLES BRAZEAL MS, ATC, PA
Physician Assistant
331 HOSPITAL DR, SUITE D
LEBANON, MO 65536
Laclede County (417) 533-6315
ST JOHN'S HOSPITAL LEBANON
General Acute Care Hospital (Rural)
331 HOSPITAL DR
LEBANON, MO 65536
Laclede County (417) 533-6315
STARLYNN M STINSON NP-C
Nurse Practitioner
331 HOSPITAL DR
LEBANON, MO 65536
Laclede County (417) 532-3495
DR. JOHN C. TABB DO
Family Medicine
331 HOSPITAL DR, SUITE C
LEBANON, MO 65536
Laclede County (417) 533-6500
MERCY CLINIC SPRINGFIELD COMMUNITIES
Clinic/Center (Rural Health)
331 HOSPITAL DR, SUITE C
LEBANON, MO 65536
Laclede County (417) 533-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Johns Clinic Inc's NPI number?

The NPI number for St Johns Clinic Inc is 1013130483. It was assigned to this organization in the NPPES registry on April 11, 2007. The provider is doing business as Sjc-Lebanon-Optometry.

Where is St Johns Clinic Inc located?

St Johns Clinic Inc is located at 331 Hospital Dr Suite E, Lebanon, MO 65536. The listed phone number is (417) 533-6540.

What is St Johns Clinic Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for St Johns Clinic Inc was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.