Organization
THE SPEC SHOPPE OF ST. JOSEPH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYLENE A HANSEN (BILLING)
(816) 364-0450
Entity
Organization
Contact information
Practice address
2925 N BELT HWY, SAINT JOSEPH, MO 64506-2006
(816) 364-0450
(816) 364-0487
Mailing address
2925 N BELT HWY, SAINT JOSEPH, MO 64506-2006
(816) 364-0450
(816) 364-0487
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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