1. Home
  2. Directory
  3. Missouri
  4. Maryville
  5. Ophthalmology
  6. NPI Profile

MARYVILLE EYE CLINIC
NPI 1639292527
Ophthalmology in Maryville, MO

Active since April 07, 2007
2024 S MAIN ST, MARYVILLE, MO 64468(660) 562-2566(660) 562-2432 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Maryville Eye Clinic NPPES

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

MARYVILLE EYE CLINIC (NPI 1639292527) is a healthcare organization registered as an ophthalmology in Maryville, Missouri and active in the NPI registry since April 2007. The organization lists Sudarsan Chavala, Ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1639292527
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSUDARSAN CHAVALA
Location Address2024 S MAIN STMaryville, MO 64468-2655
Mailing Address2024 S Main StMaryville, MO 64468-2655 · (660) 562-2566 · Fax (660) 562-2432
Phone(660) 562-2566
Fax(660) 562-2432
Organization SubpartNo
Authorized OfficialSudarsan ChavalaOphthalmologist · (660) 562-2566
Enumeration DateApril 7, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1639292527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · R8855
Definition
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License R8855 (MO)
2024 S MAIN ST, Maryville, MO 64468
Open in Google Maps ↗

Other Names 1

Doing Business AsMaryville Eye Clinic

Other Identifiers 6

Medicare ID-Type Unspecified1315240001MO · Optical Store
Other22841019MO · Bcbs Of Kc
Medicare ID-Type Unspecified0100000AMO · Group
Medicaid201965209MO
Medicaid321965204MO
Other180023483MO · Medicare Railroad

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 Sudarsan Chavala's NPI number?

The NPI number for Sudarsan Chavala is 1639292527. It was assigned to this organization in the NPPES registry on April 7, 2007. The provider is doing business as Maryville Eye Clinic.

Where is Sudarsan Chavala located?

Sudarsan Chavala is located at 2024 S Main St, Maryville, MO 64468. The listed phone number is (660) 562-2566.

What is Sudarsan Chavala's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Sudarsan Chavala was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.