Organization
SUMNER PRIMARY EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PATRICK SUMNER OD (PRESIDENT)
(636) 239-2179
Entity
Organization
Contact information
Practice address
320 WASHINGTON AVE, WASHINGTON, MO 63090-3218
(636) 239-2179
(636) 239-9592
Mailing address
PO BOX 1907, WASHINGTON, MO 63090-8907
(636) 239-2179
(636) 239-9592
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422810001
DMERC - NORIDIAN ADMINIST
MO
05
—
507272805
—
MO
Enumeration date
03/27/2007
Last updated
06/08/2020
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