Individual
DR. STACY BECVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1109 CLUB VILLAGE DR, SUITE 106, COLUMBIA, MO 65203-4466
(573) 441-2020
Mailing address
3405 KUNLUN DR, COLUMBIA, MO 65203-8012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2004021756
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317214906
—
MO
Enumeration date
07/17/2006
Last updated
02/25/2015
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