Organization
ADVANCED FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI B LEMONIER OD (OWNER)
(417) 865-4448
Entity
Organization
Contact information
Practice address
1724 W KEARNEY ST STE 116, SPRINGFIELD, MO 65803-1692
(417) 865-4448
(417) 862-8704
Mailing address
1724 W KEARNEY ST STE 116, SPRINGFIELD, MO 65803-1692
(417) 865-4448
(417) 862-8704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477593564
INDIVIDUAL NPI FOR DR. CO
MO
01
—
157403
BCBS OF MO
MO
05
—
311305031
—
MO
01
—
4178654448
VSP
MO
05
—
502392707
—
MO
01
—
AF26850
SPECTERA
MO
01
—
MO2432
EYEMED VISION CARE
MO
01
—
TO2432
LICENSE #
MO
Enumeration date
03/05/2007
Last updated
02/12/2024
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