Organization
FAMILY EYECARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MEADE SCOGGIN O.D. (OPTOMETRIST)
(573) 346-5951
Entity
Organization
Contact information
Practice address
117 S. BUSINESS ROUTE 5, CAMDENTON, MO 65020-1887
(573) 346-5951
(573) 346-3252
Mailing address
PO BOX 1887, CAMDENTON, MO 65020-1887
(573) 346-5951
(573) 346-3252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T02552
MO
152W00000X
Optometrist
Primary
T02691
MO
152W00000X
Optometrist
TO3452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507593101
—
MO
Enumeration date
12/06/2006
Last updated
11/23/2011
Update your record
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