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Contact Information

EYECARE SPECIALTIES OF MISSOURI LLC
601 E RUSSELL AVE
SUITE A
WARRENSBURG, MO64093-9605
 Phone: 660-747-2020
 Fax: 660-747-0574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYECARE SPECIALTIES OF MISSOURI LLC

NPI # 1730596248
LBN Legal business name EYECARE SPECIALTIES OF MISSOURI LLC
Authorized official NICOLE GAITHER - (INSURANCE DEPT.)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2014
Last updated 05/18/2016 - About 10 years ago
Identifiers n/a
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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