Individual
MICHAEL SHURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
426 W COLER ST, NEOSHO, MO 64850-1441
(417) 451-2378
(417) 451-4484
Mailing address
426 W COLER ST, NEOSHO, MO 64850-1441
(417) 451-2378
(417) 451-4484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2772
MO
152WC0802X
Corneal and Contact Management Optometrist
TO2772
MO
152WP0200X
Pediatric Optometrist
TO2772
MO
152WX0102X
Occupational Vision Optometrist
TO2772
MO
Other
Enumeration date
09/06/2005
Last updated
11/29/2007
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