James Trey Upton
Optometrist โข Springfield, MO
3440 S National Ave
Springfield, MO 658077307
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 8, 2022; this date does not establish years in practice.
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Published CMS data list 843 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 203 service units.
- 99214 โ Established patient outpatient office visit: 185 service units.
- 92250 โ Photography of the retina: 107 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 451 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost โ 219 prescription fills, including refills.
- Brimonidine Tartrate โ 60 prescription fills, including refills.
- Timolol Maleate โ 44 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Optometrist in Springfield, MO (2024, 44 clinicians with data). Median for this group: 452. Middle half: 242 to 611.
More Medicare Part B services than 80% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: 291. Middle half: 128 to 693.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 814 in 2023 to 843 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
3440 S National Ave
Springfield, MO 658077307
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Branson, MO; Nixa, MO; Ozark, MO and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Vision Clinic Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Southern College Of Optometry
2022
What Public CMS Data Show
Optometrist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
515 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $69,404 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $38,069 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
731 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$36,328 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $797.16 across 14 records.
By nature of payment
- Food and Beverage: $797.16 across 14 records.
Reporting-company totals (3 largest of 7)
- Bausch & Lomb Americas Inc.: $192.28 across 5 records.
- CooperVision Inc.: $158.14 across 3 records.
- Sight Sciences, Inc.: $133.23 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Upton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Upton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Optometrist in Springfield, MO (2024, 44 clinicians with data). Median for this group: 452. Middle half: 242 to 611.
More Medicare Part B services than 80% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: 291. Middle half: 128 to 693.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Optometrist in Springfield, MO (2024, 44 clinicians with data). Median for this group: $33,717. Middle half: $18,239 to $55,572.
A higher Medicare-allowed amount than 80% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: $24,109. Middle half: $11,428 to $55,341.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Optometrist in Springfield, MO (2024, 44 clinicians with data). Median for this group: $22,923. Middle half: $12,906 to $36,947.
A higher Medicare payment amount than 75% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: $15,741. Middle half: $7,255 to $35,871.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Optometrist in Springfield, MO (2024, 48 clinicians with data). Median for this group: 139. Middle half: 51 to 464.
More Part D prescriptions than 80% of clinicians listed under Optometrist in Missouri (2024, 677 clinicians with data). Median for this group: 139. Middle half: 47 to 330.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Optometrist in Springfield, MO (2024, 48 clinicians with data). Median for this group: $10,349. Middle half: $422 to $61,682.
A higher Part D drug cost than 70% of clinicians listed under Optometrist in Missouri (2024, 677 clinicians with data). Median for this group: $8,383. Middle half: $753 to $37,646.
80 active clinicians are listed under Optometrist with a practice address in Springfield, MO (1,242 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
0% of these 80 clinicians have the CMS telehealth indicator.
63.7% of these 80 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 814 in 2023 and 843 in 2024.
- 2023: 814
- 2024: 843
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $63,958 in 2023 and $69,404 in 2024.
- 2023: $63,958
- 2024: $69,404
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Paid by Medicare
Paid by Medicare decreased 21% from $48,132 in 2023 to $38,069 in 2024.
- 2023: $48,132
- 2024: $38,069
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 16 in 2022 to 451 in 2024.
- 2022: 16
- 2023: 428
- 2024: 451
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30-day fills
30-day fills increased 2947% from 24 in 2022 to 731 in 2024.
- 2022: 24
- 2023: 628
- 2024: 731
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Part D drug cost
Part D drug cost went from $456 in 2022 to $36,328 in 2024.
- 2022: $456
- 2023: $50,704
- 2024: $36,328
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $44.67 in 2023 to $797.16 in 2025.
- 2023: $44.67
- 2024: $167.26
- 2025: $797.16
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 14 records totaling $797.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Sight Sciences, Inc. |
Food and Beverage
In-kind items and services
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TEARCARE SYSTEM | General | $133.23 |
| Glaukos Corporation |
Food and Beverage
Cash or cash equivalent
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iStent infinite | General | $128.15 |
| CooperVision Inc. |
Food and Beverage
In-kind items and services
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MiSight Contact Lens | General | $98.14 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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INFUSE | General | $87.24 |
| Tarsus Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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XDEMVY | General | $84.86 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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INFUSE | General | $53.57 |
| RxSight Inc |
Food and Beverage
In-kind items and services
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RXSIGHT CONTACT LENS | General | $49.68 |
| CooperVision Inc. |
Food and Beverage
In-kind items and services
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MyDay Contact Lens | General | $45.82 |
| RxSight Inc |
Food and Beverage
In-kind items and services
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RXSIGHT CONTACT LENS | General | $32.91 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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INFUSE | General | $21.14 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
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Cequa | General | $17.91 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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INFUSE | General | $15.56 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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MIEBO | General | $14.77 |
| CooperVision Inc. |
Food and Beverage
In-kind items and services
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MyDay Contact Lens | General | $14.18 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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203 | 193 | $97.76 | $81.65 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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185 | 170 | $141.16 | $115.84 |
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92250
Photography of the retina
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107 | 100 | $113.40 | $32.85 |
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92133
Imaging of optic nerve
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55 | 55 | $64.82 | $32.40 |
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92014
Established patient complete exam of visual system
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53 | 53 | $159.38 | $112.88 |
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92134
Imaging of retina
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46 | 46 | $61.52 | $35.99 |
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66984
Removal of cataract with insertion of prosthetic lens
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35 | 25 | $236.56 | $93.35 |
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92083
Exam of visual field with extended testing
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35 | 33 | $126.09 | $55.52 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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33 | 33 | $137.33 | $100.31 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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33 | 28 | $57.06 | $50.43 |
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92004
New patient complete exam of visual system
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29 | 29 | $189.00 | $134.20 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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29 | 29 | $215.00 | $151.27 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 219 | 9,427 | $1,802.73 | 54 |
| Brimonidine Tartrate | Brimonidine Tartrate | 60 | 3,394 | $805.25 | 19 |
| Timolol Maleate | Timolol Maleate | 44 | 2,550 | $541.27 | 19 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 39 | 1,818 | $539.68 | โ |
| Lumigan | Bimatoprost | 22 | 1,258 | $12,618.11 | โ |
| Combigan | Brimonidine Tartrate/Timolol | 20 | 1,225 | $8,594.53 | โ |
| Restasis | Cyclosporine | 12 | 420 | $8,700.77 | โ |
| Dorzolamide Hcl | Dorzolamide Hcl | 12 | 629 | $141.05 | โ |
| Timolol Maleate | Timolol Maleate/Pf | 12 | 360 | $2,445.84 | โ |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 11 | 213 | $138.34 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-08-26NUCC Taxonomy Code: 152W00000X
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.
NUCC Taxonomy Code: 152W00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPTOMETRY
I20240531003808
MO
5799168597
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Vision Clinic Pc
3440 S National Ave, Springfield, MO 658077307
Phone: 4178865444
Secondary Practice Locations
213 W Olive St Ste 101
Springfield, MO 658061307
Phone: 4178623937
915 State Highway 248 Ste A
Branson, MO 656168004
Phone: 4173340044
413 N Mccroskey St Ste 1
Nixa, MO 657149313
Phone: 4177250500
6005 N 21st St
Ozark, MO 657217634
Phone: 4175822020
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3440 S NATIONAL AVE, SPRINGFIELD, MO 658077307 (Tel: 4178865444)
Registered at 3440 S NATIONAL AVE # 2020, SPRINGFIELD, MO 658077307 (Tel: 4177250500)
NPI status registered as active in NPPES database
Registered at 197 HOSPITAL DR STE A, CHEROKEE VILLAGE, AR 725297315 (Tel: 8702572100)
Registered at 197 HOSPITAL DR STE A, CHEROKEE VILLAGE, AR 725297315 (Tel: 8702572100)
Recorded as JAMES UPTON
Optometrist (license number reported to NPPES: AR 2856)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Optometrists in Springfield
- Dr. Mark Axford, OD
- Dr. Kevin Kickham, OD
- Dr. Hilary Price, OD
- Dr. Kevin Rice, OD
- Dr. Brad Lewis, OD
- Dr. Bethany Whitesell, MD
Mailing Address
3440 S National Ave # 2020
Springfield, MO 658077307
Phone: 4177250500