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Contact Information

EYEGLASS CENTER LLC
690 MISSOURI AVE STE 22
SAINT ROBERT, MO65584-4680
 Phone: 573-336-4670
 Fax: 573-336-5968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for EYEGLASS CENTER LLC

NPI Number 1992944979
LBN Legal business name EYEGLASS CENTER LLC
Authorized official NANCY SUTTON - (FRONT OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2009
Last updated 02/13/2009 - About 17 years ago
Identifiers
MO License # TO3060
MO Medicaid 313540411
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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