Organization
BRAY SHEPHERD EYE CARE PC
Active
Other names
Independence Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA E BRAY D.O. (OWNER)
(816) 461-6880
Entity
Organization
Contact information
Practice address
16637 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 461-6880
Mailing address
16637 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 461-6880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03197
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730174210
NPI
MO
Enumeration date
06/26/2015
Last updated
06/26/2015
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