Organization
MISSOURI EYE INSTITUTE OF JOPLIN LLC
Active
Other names
Missouri Eye Institute of Joplin LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R OSBORN JR. MD (OWNER)
(417) 887-3900
Entity
Organization
Contact information
Practice address
4500 EAST 32ND STREET, JOPLIN, MO 64804-1512
(417) 626-8082
(417) 626-4393
Mailing address
1531 EAST BRADFORD PARKWAY STE 100, SPRINGFIELD, MO 65804-6539
(417) 887-3900
(417) 823-2894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015239
MEDICARE GROUP
MO
01
—
1285767889
NPI
MO
01
—
DF7539
RAILROAD MEDICARE GROUP
MO
Enumeration date
03/13/2007
Last updated
03/20/2024
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