Organization
PREMIERE EYE ASSOCIATES, P.C.
Active
Other names
InSight Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H SPURRIER M.D. (PRESIDENT/OWNER)
(636) 937-8855
Entity
Organization
Contact information
Practice address
1400 HWY 61 SOUTH, SUITE 130, CRYSTAL CITY, MO 63019
(636) 937-8855
(636) 931-6561
Mailing address
PO BOX 13, CRYSTAL CITY, MO 63019-0013
(636) 937-8855
(636) 931-6561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0695040001
NORIDIAN DME MAC
MO
01
—
CN1852
MEDICARE RAILROAD
MO
Enumeration date
07/21/2006
Last updated
11/06/2020
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