Organization
SPEC SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF FARNAN (OWNER)
(660) 582-8911
Entity
Organization
Contact information
Practice address
1713 S MAIN ST, MARYVILLE, MO 64468
(660) 582-8911
(660) 582-2545
Mailing address
1713 S MAIN ST, MARYVILLE, MO 64468-2613
(660) 582-8911
(660) 582-2545
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322223405
—
MO
Enumeration date
06/14/2006
Last updated
02/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us