Organization
ADVANCED EYE CARE OF WINFIELD LLC
Active
Parent organization
ADVANCED EYE CARE OF WINFIELD
Other names
Advanced Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED EYE CARE OF WINFIELD
Authorized official
DR. DENISE M HARVEY OD (MANAGING MEMBER)
(573) 324-3131
Entity
Organization
Contact information
Practice address
43 ELLIS AVE, TROY, MO 63379-1151
(636) 528-4144
Mailing address
43 ELLIS AVE, TROY, MO 63379-1151
(636) 528-4144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2007018394
MO
152W00000X
Optometrist
2008017063
MO
152W00000X
Optometrist
Primary
T03408
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265473383
—
MO
05
—
1609305580
—
MO
05
—
1811159882
—
MO
Enumeration date
06/05/2009
Last updated
01/27/2020
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