Organization
MISSOURI EYE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS CHARLES JANSEN M.D. (MEMBER)
(417) 887-3900
Entity
Organization
Contact information
Practice address
1531 E BRADFORD PKWY, SUITE 100, SPRINGFIELD, MO 65804-6566
(417) 887-3900
(417) 887-3221
Mailing address
1531 E BRADFORD PKWY, SUITE 100, SPRINGFIELD, MO 65804-6566
(417) 887-3900
(417) 887-3221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144277252
NPI
MO
05
—
508027802
—
MO
01
—
CJ4613
MEDICARE RAILROAD GROUP
MO
01
—
CJ4614
MEDICARE RAILROAD GROUP
MO
Enumeration date
05/27/2006
Last updated
03/19/2024
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