Advanced Family Eye Care INC
Optometrist in Springfield, MO. Organization (NPI-2).
NPI number1164551024
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1164551024
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Family Eye Care INC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1724 W Kearney St Ste 116Springfield, MO 65803-1692
Phone 417-865-4448 · Fax 417-862-8704
Mailing address
1724 W Kearney St Ste 116Springfield, MO 65803-1692
Phone 417-865-4448 · Fax 417-862-8704
Authorized official
Eli B Lemonier
Owner
4178654448
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