Organization
ADVANCE EYECARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELDON R REPSHER O.D. (OWNER/OPTOMETRIST)
(417) 392-0715
Entity
Organization
Contact information
Practice address
5832 N MAIN ST, JOPLIN, MO 64801-9611
(417) 623-7900
(417) 623-0559
Mailing address
317 BRIARBROOK DR, CARL JUNCTION, MO 64834-9595
(417) 623-7900
(417) 623-0559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002002924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190561
BC/BS
MO
05
—
318449014
—
MO
Enumeration date
04/15/2008
Last updated
12/20/2010
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