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Contact Information

PRIMARY EYE CARE ASSOCIATES
303 TEACO RD
KENNETT, MO63857-3237
 Phone: 573-888-5896
 Fax: 573-888-1501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for PRIMARY EYE CARE ASSOCIATES

NPI Number 1053458380
LBN Legal business name PRIMARY EYE CARE ASSOCIATES
Authorized official MERRILL MILLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # T02701
MO Other 191843 BLUE CROSS BLUE SHIELD
MO Other 5514370001 CIGNA GOVERNMENT
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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