Healthcare Provider Details

I. General information

NPI: 1407794738
Provider Name (Legal Business Name): C.H. EYES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 E SEMINOLE ST STE 110
SPRINGFIELD MO
65804-2227
US

IV. Provider business mailing address

1229 E SEMINOLE ST STE 110
SPRINGFIELD MO
65804-2227
US

V. Phone/Fax

Practice location:
  • Phone: 417-379-4651
  • Fax:
Mailing address:
  • Phone: 417-379-4651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW OWEN HANSEN
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 417-379-4651