National Provider Identifier Database

PRIMARY EYE CARE ASSOCIATES
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PRIMARY EYE CARE ASSOCIATES
303 TEACO RD
KENNETT, MO63857-3237
Phone: 573-888-5896
Fax: 573-888-1501
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PRIMARY EYE CARE ASSOCIATES

NPI Number 1053458380
Legal business name
LBN
PRIMARY EYE CARE ASSOCIATES
Authorized official MERRILL MILLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/30/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: T02701
  • MO Other: 191843 BLUE CROSS BLUE SHIELD
  • MO Other: 5514370001 CIGNA GOVERNMENT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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