Missouri Physicians Eyecare Group, P.C.
Optometrist in Springfield, MO. Organization (NPI-2).
NPI number1407410087
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1407410087
- Entity type
- Organization (NPI-2)
- Legal business name
- Missouri Physicians Eyecare Group, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 29, 2019
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1415 E Battlefield StSpringfield, MO 65804-3701
Phone 561-275-2020 · Fax 561-275-2030
Mailing address
3801 S Congress AvePalm Springs, FL 33461-4140
Phone 561-275-2020 · Fax 561-275-2030
Authorized official
Jackie Bennett
Credentialing Supervisor
5616124531
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