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Organization

EYECARE SPECIALTIES OF MISSOURI LLC

Active
Other names
Eyecare Specialites
Organization subpart
No

Provider details

NPI number
Authorized official
MISS NICOLE E GAITHER (INSURANCE DEPT.)
(660) 885-7116
Entity
Organization

Contact information

Practice address
601 E RUSSELL AVE, SUITE A, WARRENSBURG, MO 64093-9605
(660) 747-2020
(660) 747-0574
Mailing address
601 E RUSSELL AVE, SUITE A, WARRENSBURG, MO 64093-9605
(660) 747-2020
(660) 747-0574

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist

Other

Enumeration date
07/16/2014
Last updated
05/18/2016
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