INTERNATIONAL EYECARE CENTER, INC
NPI 1235455320
Optometrist in Fulton, MO

Q: What is International Eyecare Center, Inc's NPI number?

The NPI number for International Eyecare Center, Inc is 1235455320. It was assigned to this organization in the NPPES registry on April 14, 2010.

Q: What is International Eyecare Center, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 14, 2010

1877A N BLUFF ST, FULTON, MO 65251(573) 592-7484 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2021, Jan 28, 2019 (2 updates tracked since 2019).

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About International Eyecare Center, Inc NPPES

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

INTERNATIONAL EYECARE CENTER, INC (NPI 1235455320) is a healthcare organization registered as an optometrist in Fulton, Missouri and active in the NPI registry since April 2010. The organization lists Cathy Lee Short, Credentiailing Manager, as its authorized official.

NPPES Registry Identity

NPI1235455320

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameINTERNATIONAL EYECARE CENTER, INC

Location Address1877A N BLUFF STFulton, MO 65251-2465

Mailing Address1877 N Bluff St, AFulton, MO 65251-2465 · (573) 592-7484

Phone(573) 592-7484

Organization SubpartNo

Authorized OfficialCathy Lee ShortCredentiailing Manager · (618) 462-9818

Enumeration DateApril 14, 2010

Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2021

✔ NPI 1235455320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedEyewear SupplierTaxonomy 332H00000X

1877A N BLUFF ST, Fulton, MO 65251

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

International Eyecare Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 41 clinicians reassign Medicare billing to International Eyecare Center, Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 41

Devon Sievers

Optometry

NPI 1255125654

2011 CORONA RD STE 201
Columbia, MO 65203

(573) 447-2020

✔ PECOS✔ Accepts Medicare25 mi

Jill Radkowiec, OD

Optometry

NPI 1114239092

202 E NORTH STREET
California, MO 65018

(573) 796-2222

✔ PECOS✔ Accepts Medicare37 mi

Elizabeth Monroe, O.D.

Optometry

NPI 1356687412

175 SHINN LN
Hannibal, MO 63401

(573) 248-0008

✔ PECOS✔ Accepts Medicare65 mi

Kenneth Mueller, O.D.

Optometry

NPI 1013966076

215 PROGRESS RD
Hannibal, MO 63401

(573) 248-1616

✔ PECOS✔ Accepts Medicare68 mi

Steven Goldberg, O.D.

Optometry

NPI 1871681346

14314 COBBLE CT
Chesterfield, MO 63017

(314) 629-7667

✔ PECOS78 mi

Timothy Leahy, O.D.

Optometry

NPI 1629027958

201 N MADISON ST
Pittsfield, IL 62363

(217) 285-4800

✔ PECOS✔ Accepts Medicare81 mi

Judy Chun, O.D.

Optometry

NPI 1356419006

12681 DORSETT RD
Maryland Heights, MO 63043

(314) 786-3800

✔ PECOS81 mi

Mason Garbs, OD

Optometry

NPI 1548908072

2445 BROADWAY ST
Quincy, IL 62301

(217) 222-8800

✔ PECOS✔ Accepts Medicare81 mi

Tara Guinn, OD

Optometry

NPI 1316586985

1702 N BALTIMORE ST
Kirksville, MO 63501

(660) 665-6262

✔ PECOS✔ Accepts Medicare98 mi

Mathieu Hill

Optometry

NPI 1760286777

1702 N BALTIMORE ST
Kirksville, MO 63501

(660) 665-6262

✔ PECOS✔ Accepts Medicare98 mi

Tyler Page, O.D.

Optometry

NPI 1528419991

1702 N BALTIMORE ST
Kirksville, MO 63501

(660) 665-6262

✔ PECOS✔ Accepts Medicare98 mi

Jonathon Thoele, O.D.

Optometry

NPI 1114282548

105 W MAIN ST
Mount Sterling, IL 62353

(217) 773-3055

✔ PECOS✔ Accepts Medicare101 mi

Ayhubrhan Yifru, OD

Optometry

NPI 1427749209

1233 W MORTON AVE STE C
Jacksonville, IL 62650

(217) 245-8800

✔ PECOS✔ Accepts Medicare109 mi

Calvin Daack, OD

Optometry

NPI 1386319705

619 10TH ST
Fort Madison, IA 52627

(319) 372-5181

✔ PECOS128 mi

Douglas Herriott, OD

Optometry

NPI 1700885860

221 NW MCNARY CT
Lees Summit, MO 64086

(816) 524-8900

✔ PECOS✔ Accepts Medicare132 mi

Benjamin Iwai, O.D.

Optometry

NPI 1417399890

313 N ROOSEVELT AVE
Burlington, IA 52601

(319) 758-9145

✔ PECOS✔ Accepts Medicare142 mi

Paul Jernigan, O.D.

Optometry

NPI 1033317417

5150 ROE BLVD
Roeland Park, KS 66205

(913) 403-9013

✔ PECOS146 mi

William Adler, OD

Optometry

NPI 1457444200

6584 165TH ST BOX 100
Albia, IA 52531

(641) 932-7614

✔ PECOS✔ Accepts Medicare158 mi

Charles Hornby, O.D.

Optometry

NPI 1598712242

885 E HIGHWAY 60
Monett, MO 65708

(417) 236-1144

✔ PECOS✔ Accepts Medicare171 mi

Ryan Thoele, O.D.

Optometry

NPI 1700144029

1505 W MAIN ST
Mt Zion, IL 62549

(217) 864-3221

✔ PECOS✔ Accepts Medicare176 mi

See all 41 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 International Eyecare Center, Inc's NPI number?

The NPI number for International Eyecare Center, Inc is 1235455320. It was assigned to this organization in the NPPES registry on April 14, 2010.

Where is International Eyecare Center, Inc located?

International Eyecare Center, Inc is located at 1877A N Bluff St, Fulton, MO 65251. The listed phone number is (573) 592-7484.

What is International Eyecare Center, Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is International Eyecare Center, Inc enrolled in Medicare?

Yes. International Eyecare Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through International Eyecare Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians, all in Optometry, reassign their Medicare billing to International Eyecare Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for International Eyecare Center, Inc was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.