Organization
LAKE OZARK FAMILY EYECARE, INC.
Active
Other names
Family eyecare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EVELAND OD (PRESIDENT)
(573) 365-3717
Entity
Organization
Contact information
Practice address
3251 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-9745
(573) 365-3717
Mailing address
PO BOX 2347, LAKE OZARK, MO 65049-2347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3452
MO
Other
Enumeration date
01/15/2008
Last updated
06/19/2009
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