Organization
OSAGE BEACH FAMILY EYECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R. EVELAND O.D. (PRESIDENT)
(573) 552-8569
Entity
Organization
Contact information
Practice address
5962 HIGHWAY 54, OSAGE BEACH, MO 65065-3338
(573) 552-8569
Mailing address
5962 HIGHWAY 54, OSAGE BEACH, MO 65065-3338
(573) 552-8569
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03438
MO
152WC0802X
Corneal and Contact Management Optometrist
T03438
MO
152WL0500X
Low Vision Rehabilitation Optometrist
T03438
MO
152WP0200X
Pediatric Optometrist
T03438
MO
152WS0006X
Sports Vision Optometrist
T03438
—
152WV0400X
Vision Therapy Optometrist
T03438
—
152WX0102X
Occupational Vision Optometrist
T03438
MO
Other
Enumeration date
01/19/2010
Last updated
09/19/2011
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