National Provider Identifier Database

SPEC SHOPPE II
Optician


Contact Information

SPEC SHOPPE II
301 N PARK ST
STANBERRY, MO64489-1245
Phone: 660-783-2870
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for SPEC SHOPPE II

NPI Number 1265820815
Legal business name
LBN
SPEC SHOPPE II
Authorized official JEFFREY FARNAN - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/06/2015
Last updated 01/06/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 22104119

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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