Lake Family Vision Center Inc in Laurie - Eyewear Supplier
Lake Family Vision Center Inc - NPI 1720128713
Lake Family Vision Center Inc is a Eyewear Supplier in Laurie, Missouri. Lake Family Vision Center Inc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Lake Family Vision Center Inc is 1720128713. The last update date is 2007-12-21.
Lake Family Vision Center Inc's current location address is Po Box 1185, Laurie, Missouri. You can contact this provider via phone number 5733745222 and fax number 5733747351. The mailing address for Lake Family Vision Center Inc is Po Box 1185, Laurie, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Family Vision Center Inc |
|---|---|
| Address | Po Box 1185, Laurie, Missouri |
| Phone Number | 5733745222 |
| Fax Number | 5733747351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Scoggin R William |
| Credentials | O.D. |
| Telephone Number | 5733745222 |
NPI Number Detail
| NPI Number | 1720128713 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-12-21 |
Provider Mailing Address Detail
| Address | Po Box 1185 |
|---|---|
| City | Laurie |
| State | Missouri (MO) |
| Post Code | 650381185 |
| Phone Number | 5733745222 |
| Fax Number | 5733747351 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | T02682 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 323200001 | MO | CIGNA MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lake Family Vision Center Inc by the Centers for Medicare & Medicaid Services?
The Lake Family Vision Center Inc has been assigned the NPI (National Provider Identifier) 1720128713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Lake Family Vision Center Inc is geographically located?
The Lake Family Vision Center Inc is physically situated at the following location: Po Box 1185, Laurie, MO, 650381185.
What is Lake Family Vision Center Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lake Family Vision Center Inc is Eyewear Supplier, and the taxonomy code that classifies this field of practice is 332H00000X.
On what date did the Lake Family Vision Center Inc receive its 1720128713 assignment from the Centers for Medicare & Medicaid Services?
The Lake Family Vision Center Inc was assigned its 1720128713 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the details pertaining to Lake Family Vision Center Inc last refreshed?
The information related to the Lake Family Vision Center Inc, including its address, specialty, and other relevant details, was last updated on 2007-12-21.