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BOLIVAR EYE SPECIALTY CENTER
NPI 1750460382
Clinic/Center - Medical Specialty in Bolivar, MO

Active since November 03, 2006
1630 KILLINGSWORTH AVE, SUITE 2B, BOLIVAR, MO 65613(417) 777-2222(417) 777-2224 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bolivar Eye Specialty Center NPPES

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

BOLIVAR EYE SPECIALTY CENTER (NPI 1750460382) is a healthcare organization registered as a medical specialty in Bolivar, Missouri and active in the NPI registry since November 2006. The organization lists Caleb Randall Sawyer, Sole Share Holder, as its authorized official.

NPPES Registry Identity

NPI1750460382
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBOLIVAR EYE SPECIALTY CENTER
Location Address1630 KILLINGSWORTH AVE, SUITE 2BBolivar, MO 65613-2282
Mailing AddressPo Box 539Bolivar, MO 65613-0539 · (417) 777-2222 · Fax (417) 777-2224
Phone(417) 777-2222
Fax(417) 777-2224
Organization SubpartNo
Authorized OfficialCaleb Randall SawyerSole Share Holder · (417) 777-2222
Enumeration DateNovember 3, 2006
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1750460382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MO · 2006031059
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1630 KILLINGSWORTH AVE, Bolivar, MO 65613
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Other Identifiers 1

Medicare NSC6150650001MO

Other Providers at the Same Location NPPES 3

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

DR. ROY W SHELTON MD
Technician/Technologist (Ophthalmic)
1630 KILLINGSWORTH AVE, SUITE 2-A
BOLIVAR, MO 65613
Polk County (417) 777-2222
CMH FOOT AND ANKLE CLINIC
Podiatrist
1630 KILLINGSWORTH AVE, SUITE 2A
BOLIVAR, MO 65613
Polk County (417) 326-6200
CITIZENS MEMORIAL HEALTHCARE CLINICS
Durable Medical Equipment & Medical Supplies
1630 KILLINGSWORTH AVE
BOLIVAR, MO 65613
Polk County (417) 326-6200

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 Bolivar Eye Specialty Center's NPI number?

The NPI number for Bolivar Eye Specialty Center is 1750460382. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Bolivar Eye Specialty Center located?

Bolivar Eye Specialty Center is located at 1630 Killingsworth Ave Suite 2B, Bolivar, MO 65613. The listed phone number is (417) 777-2222.

What is Bolivar Eye Specialty Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Bolivar Eye Specialty Center was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.