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Contact Information

MOUNT VERNON EYECARE ASSOCIATES, LLC
104 S HICKORY
MOUNT VERNON, MO65712
 Phone: 417-466-7620
 Fax: 417-466-7620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MOUNT VERNON EYECARE ASSOCIATES LLC · (Female)

NPI # 1609957885
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2006
Last updated 09/10/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 530524107
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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