Organization
EYE CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE R KASTEN (CEO, EXEC VP)
(573) 339-9731
Entity
Organization
Contact information
Practice address
360 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 335-3577
(573) 335-1559
Mailing address
360 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 335-3577
(573) 335-1559
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507335701
—
MO
01
—
CI5676
RAILROAD MEDICARE GROUP
MO
01
—
CI5677
RAILROAD MEDICARE GROUP
KY
01
—
CI5679
RAILROAD MEDICARE GROUP
IL
Enumeration date
03/15/2007
Last updated
08/05/2011
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