Organization
MARYVILLE FAMILY EYE CLINIC,LLC
Active
Other names
Family Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KORRIE S SOWARDS (OPERATING MANAGER/ OWNER)
(913) 953-6049
Entity
Organization
Contact information
Practice address
503 S MAIN ST, MARYVILLE, MO 64468-2444
(913) 953-6049
Mailing address
503 S MAIN ST, MARYVILLE, MO 64468-2444
(913) 953-6049
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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