Eyecare Specialties Of Missouri Llc in Clinton - Optometrist
Eyecare Specialties Of Missouri Llc - NPI 1053427435
Eyecare Specialties Of Missouri Llc is a Optometrist in Clinton, Missouri. Eyecare Specialties Of Missouri Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Eyecare Specialties Of Missouri Llc is 1053427435. The last update date is 2015-04-06.
Eyecare Specialties Of Missouri Llc's current location address is 1104 E Ohio St, Clinton, Missouri. You can contact this provider via phone number 6608857116. The mailing address for Eyecare Specialties Of Missouri Llc is 1104 E Ohio St, Clinton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eyecare Specialties Of Missouri Llc |
|---|---|
| Address | 1104 E Ohio St, Clinton, Missouri |
| Phone Number | 6608857116 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR/ OWNER |
|---|---|
| Authorized Official Name | Lake Steven Jason |
| Credentials | OD |
| Telephone Number | 6608857116 |
NPI Number Detail
| NPI Number | 1053427435 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | 1104 E Ohio St |
|---|---|
| City | Clinton |
| State | Missouri (MO) |
| Post Code | 647352458 |
| Phone Number | 6608857116 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 504891805 | MO | -- | |
| MA5292 | MO | MEDICARE PTAN |
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What is the Eyecare Specialties Of Missouri Llc's 1053427435?
The Eyecare Specialties Of Missouri Llc's NPI (National Provider Identifier) Number is 1053427435. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eyecare Specialties Of Missouri Llc's physical address?
The Eyecare Specialties Of Missouri Llc is physically located at 1104 E Ohio St, in the city of Clinton, MO, with the postal code 647352458.
What is Eyecare Specialties Of Missouri Llc's area of expertise and its corresponding taxonomy classification?
The Eyecare Specialties Of Missouri Llc's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When was the Eyecare Specialties Of Missouri Llc's 1053427435 issued?
The Eyecare Specialties Of Missouri Llc's 1053427435 was issued on 2006-08-21.
When was the information regarding Eyecare Specialties Of Missouri Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eyecare Specialties Of Missouri Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-04-06.
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