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Contact Information

ADVANCE EYECARE ASSOCIATES LLC
5832 N MAIN ST
JOPLIN, MO64801-9611
 Phone: 417-623-7900
 Fax: 417-623-0559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANCE EYECARE ASSOCIATES LLC

NPI # 1275707887
LBN Legal business name ADVANCE EYECARE ASSOCIATES LLC
Authorized official ELDON REPSHER - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2008
Last updated 12/20/2010 - About 15 years ago
Identifiers
MO License # 2002002924
MO Medicaid 318449014
MO Other 190561 BC/BS
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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