Organization
EYEWEAR EXPRESS OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R MCCARTY (OWNER)
(573) 774-5004
Entity
Organization
Contact information
Practice address
320 ICHORD AVE, SUITE H, WAYNESVILLE, MO 65583-3600
(573) 774-5004
(573) 774-5004
Mailing address
320 ICHORD AVE, SUITE H, WAYNESVILLE, MO 65583-3600
(573) 774-5004
(573) 774-5004
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
21892466
MO
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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