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Contact Information

INTERNATIONAL EYECARE CENTER, INC.
3201 HIGHWAY 61
SUITE A
HANNIBAL, MO63401-6578
 Phone: 573-248-3937
 Fax: 573-221-4393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for INTERNATIONAL EYECARE CENTER, INC.

NPI Number 1215378963
LBN Legal business name INTERNATIONAL EYECARE CENTER, INC.
Authorized official TERESA CARTER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2013
Last updated 01/22/2021 - About 5 years ago
Identifiers
MO Medicaid 1760405047
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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