Organization
INTERNATIONAL EYECARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY LEE SHORT (CREDENTIAILING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1877A N BLUFF ST, FULTON, MO 65251-2465
(573) 592-7484
Mailing address
1877 N BLUFF ST, A, FULTON, MO 65251-2465
(573) 592-7484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/14/2010
Last updated
01/22/2021
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