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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

NPI Number 1609957885
LBN Legal business name MOUNT VERNON EYECARE ASSOCIATES, LLC
Authorized official TANYA BURDETT - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 09/10/2010 - About 16 years ago
Identifiers
MO Medicaid 530524107
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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