Lally Eyecare Inc in Marshall - Optometrist
Lally Eyecare Inc - NPI 1790890184
Lally Eyecare Inc is a Optometrist in Marshall, Missouri. Lally Eyecare Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lally Eyecare Inc is 1790890184. The last update date is 2009-06-08.
Lally Eyecare Inc's current location address is 12 North Jefferson, Marshall, Missouri. You can contact this provider via phone number 6608865584 and fax number 6608862633. The mailing address for Lally Eyecare Inc is 12 North Jefferson, Marshall, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lally Eyecare Inc |
|---|---|
| Address | 12 North Jefferson, Marshall, Missouri |
| Phone Number | 6608865584 |
| Fax Number | 6608862633 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lally Yuri Tron |
| Credentials | O.D. |
| Telephone Number | 6608865584 |
NPI Number Detail
| NPI Number | 1790890184 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2009-06-08 |
Provider Mailing Address Detail
| Address | 12 North Jefferson |
|---|---|
| City | Marshall |
| State | Missouri (MO) |
| Post Code | 653402106 |
| Phone Number | 6608865584 |
| Fax Number | 6608862633 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T03163 |
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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 |
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What is the Lally Eyecare Inc's 1790890184?
The Lally Eyecare Inc's NPI (National Provider Identifier) Number is 1790890184. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lally Eyecare Inc is geographically located?
The Lally Eyecare Inc is physically situated at the following location: 12 North Jefferson, Marshall, MO, 653402106.
What is the Lally Eyecare Inc's area of specialization and corresponding taxonomy classification?
The Lally Eyecare Inc's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lally Eyecare Inc receive the assignment of its 1790890184 from the Centers for Medicare & Medicaid Services?
The Lally Eyecare Inc was issued its 1790890184 by the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date were the details pertaining to Lally Eyecare Inc last refreshed?
The information related to the Lally Eyecare Inc, including its address, specialty, and other relevant details, was last updated on 2009-06-08.
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